5 Ways Wellframe Delivers Value To Health Plans and Members

Over the past four years, healthcare payers have faced immense pressure to adopt new technologies that aim to increase member engagement, improve clinical outcomes, and control costs. But it can be a challenge to make the most of your health plan’s digital solutions and achieve the return on investment (ROI) you planned for at implementation. Wellframe delivers value to health plans by extending the reach of your existing resources and offering in-app suggestions on how to do more with the tools and insights available.

Below are 5 key ways the Wellframe solution can improve ROI for healthcare payers.

1. Improving Chronic Condition Management

Every year, the U.S. spends about $4.5 trillion in health care expenditures. 90% of this goes toward treating members with chronic and mental health conditions. For members living with one or more chronic conditions, staying on top of health and wellness can be a challenge.

Wellframe addresses these issues by providing a robust digital solution. Diabetic members utilizing the Wellframe app have experienced a remarkable 25% reduction in their blood sugar readings, while members with hypertension have seen their blood pressure drop by up to 9%. These impressive statistics underscore the platform’s ability to facilitate effective chronic condition management, leading to better health outcomes and reduced healthcare costs.

For more on this topic, explore our Member Impact Report.

2. Supporting High-Risk Members Throughout Their Journeys

High-risk members require comprehensive, high-touch support to navigate their complex healthcare needs. Wellframe ensures these members are not left behind. The app offers personalized tasks on daily checklists tailored to individual clinical requirements, including medication reminders, biometrics tracking, and educational content. Moreover, members can securely communicate with their care teams via the app, providing a seamless and effective way to manage their health.

Learn more about supporting high-risk members in our Medicaid Maternal Health Resource.

3. Streamlining Staff Workflows and Increasing Capacity

Traditional care management methods often involve time-consuming tasks such as making phone calls, leaving messages, and conducting questionnaires over the phone. Wellframe revolutionizes this process by enabling care managers to reach more members efficiently. Through the app, care managers can send secure messages to multiple members simultaneously, allowing members to respond at their convenience—leading to a 6x increase in member interactions. Digital surveys and assessments can also be sent directly to members’ smartphones, saving time, ensuring greater security compared to traditional phone calls. By leveraging Wellframe’s digital tools, care managers can double their caseload size, and increase successful phone calls by up to 91%.

Read more about streamlining staff workflows in our Staff Efficiency Case Study.

4. Proactively Identifying and Addressing Health Barriers

Members often feel hesitant to discuss sensitive personal information over the phone. Wellframe mitigates this issue by providing a secure messaging feature where members can comfortably share their concerns and ask questions. Additionally, the platform allows care managers to uncover social determinants of health through digital surveys. With real-time notifications when members complete assessments and automated flagging of high-risk members, care managers can prioritize their outreach effectively, addressing health barriers proactively.

Discover effective strategies for identifying and addressing health barriers in our guide.

5. Increasing CMS Star Ratings and Member Satisfaction

Achieving higher CMS Star Ratings is crucial for health plans aiming to enhance their reputation and secure more rebates—and increasing member satisfaction is a major contributor. The Wellframe solution plays a pivotal role in these endeavors by supporting health plans in delivering timely and effective care, reducing preventable readmissions, and improving the patient experience. Members benefit from a single digital health management platform that provides them with the relevant information and support they need, precisely when they need it. The Wellframe member app boasts a 4.7 of 5 star rating on the App Store, demonstrating its use to members. Proactively focusing on member satisfaction can help health plans increase their CMS Star Ratings, ultimately resulting in greater financial incentives.

Explore our Star Ratings Guide to learn more about improving your scores.

Wellframe stands as a transformative force in the realm of health plan management, offering a comprehensive digital solution that addresses the multifaceted needs of members and care teams alike. By improving chronic condition management, supporting high-risk members, streamlining staff workflows, proactively identifying health barriers, and enhancing CMS Star Ratings, Wellframe delivers exceptional value to health plans. Embrace the future of healthcare with Wellframe and witness firsthand the profound impact it can have on your organization’s efficiency and member satisfaction.

Ready to take the next step? Connect with us today to discover how Wellframe can revolutionize your health plan management.