Improving Care with Proven Methods of Member Engagement

Social Determinants of Health (SDOH) have a significant impact on a person’s overall health. Payers and providers are coming to realize that they can manage risk with highly targeted intervention programs while reducing unnecessary care.

However, managing and predicting SDOH among members continues to be a top challenge among health plan leaders. Furthermore, in a recent survey of 3,000 consumers, when asked if a health insurance company, primary care physician, or a specialist directed them to a community resource to further support their care, 72% of consumers said no. Yet, for those who were referred to a service, 81% engaged with the treatment or resource once they knew it was available. Member engagement is key to addressing SDOH, but there is a communication breakdown.

Speed, efficiency, and access to real-time information are required for outreach to connect the right members, to the right treatment, at the right time. Users do not want to have to log into multiple different systems to gather the data they need.

Altruista Health is on a mission to help our customers positively impact members’ health by focusing on proven methods of increasing their engagement. Our open interface supports API-led connectivity and seamless integration with other tools and technology.

For example, we have analytics with the Chronic Illness and Disability Payment System (CDPS), a predictive risk model that analyzes diagnostic and pharmacy data to identify and group populations into more than 60 risk categories.

Our GuidingCare platform also integrates with Aunt Bertha and Healthify, the nation’s leading social services search- and- referral platforms that enable users to quickly access comprehensive, localized listings for hundreds of programs across the country.

Payers and providers are looking for technology solutions to make interacting and engaging with patients easier. Our goal is to make our solutions easy to use for everyone, no matter their experience level, so our customers can stay focused on their business and improving health outcomes for members.

Customers Influence Significant Development in Digital Health Technology

Much of the GuidingCare product roadmap has been influenced by our customer’s experience.

We have something called ride alongs, where we go with our clients out into the workplace and see how they use our product. These visits have greatly influenced our product roadmap; we identified significant capabilities that we needed to implement by watching real people work in the real world.

One of those influences was our award-winning Mobile Clinician app.

Whenever you’re driving, and your phone loses connection to a mobile network, think about the people who live there. And there are a lot more places than people think, spanning from remote locations in Hawaii to the rural mountainous regions of the Southeast. We even did a ride-along with a customer in a part of the Navajo Nation in the middle of the desert with no service.

While out in these remote areas, if a clinician is visiting patients and can’t go online to access a web service like GuidingCare, they need the ability to work offline in order to best serve these patients. The Mobile Clinician app solves this challenge. The app allows field clinicians to visit with patients in their homes or communities and use on- or offline on mobile devices to perform care management functions. The offline capability is especially valuable in serving areas without dependable internet or cellular service, where populations need care and social support resources.

In addition to capturing demographic data, conducting health assessments, and making referrals to social services, among other things, clinicians can also build care and service plans in the Mobile Clinician app, which is another process that our ride-alongs helped us improve.

We wanted to reduce the number of clicks that it takes a clinician to build a care plan, so the technology did not get in the way of valuable face-to-face, human interactions with the patient during the visit. We made huge improvements, resulting in single-click care planning—now clinicians can finalize care plans without interruption.

I’ve been with Altruista for more than eight years and was drawn to the company’s mission of improving care through promoting member engagement and access to care. The Mobile Clinician app helps communities overcome barriers to accessing care and better health outcomes, regardless of location.