Health plans and ACO’s have long struggled with inaccurate member contact data, incomplete member profiles, duplicate records, time-consuming three-way calls with members and providers, and ultimately closing gaps in care effectively.
Receive real time notification of member activity in the continuum of care
Enrich, protect and resolve member data to better communicate and engage with members
Understand and activate ideal member communication preferences
Enable member engagement teams to book digitally with providers seamlessly
Drive engagement strategies that consider the member’s social risk factors using social determinants and business intelligence
Improve Star Ratings and Quality scores
140% increase in scheduling rates
A large Medicaid managed care plan saw a 140% increase in scheduling rates by eliminating three-way calls and a 51% increase in member show rates.
Featured Solution: Member Scheduling
- Member Self-Scheduling: guide members to the right provider and appointment to meet their needs and allows them to schedule it at their convenience.
- Call Center Search and Schedule: enable agents to find the right provider and appointment for members care and social determinants of health needs without making three-way calls.
- Automated Outreach: prompt members to self-schedule appointments (annual visits, care gaps, etc.) via interactive voice response (IVR) or text (SMS) messages sent in targeted campaigns.
Gaps in care closed through digital scheduling solutions
Reduction in Emergency Department/ Inpatient utilization
Bookings occur outside of office hours
Member Utilization Management
Improve episode management with real-time notifications of ED visits, admissions and discharges, allowing care teams to optimize episodes of care for quality and cost.
Social Determinants of Health
Receive patient engagement strategy recommendations for your members that are SDOH factor-specific, with insight into why and based on best practice interventions. Also includes preferred communication channel to inform the outreach strategy.
Member Identity Resolution
Universal identity Manager intakes all instances of a member profile, including duplicates, and creates a single view of the member, allowing health plans to confidently reach out to members around open enrollment.
Consumer Data Insights
Acquire new members, drive deeper engagement and improve enrollment rates using Experian’s consumer data approved for digital and traditional marketing outreach and adherent of consumer data privacy regulations.