Data Sheet: Transform Care Management with Digital Member Engagement
To navigate rising costs, competition, and evolving regulations, health plans require innovative care management models that meet current member needs while ensuring long-term sustainability.
Health plans face significant challenges, including rising care costs, increased competition, and evolving member expectations. To succeed, care management models must innovate to meet both current member needs and long-term sustainability pressures.
The HealthEdge Wellframe™ Digital Member Engagement Solution helps health plans transform their digital care management capabilities. By leveraging comprehensive, flexible tools, health plans can enhance care coordination, connect members to essential resources, and support proactive health management for all member populations.
How Wellframe Transforms Digital Care Management
- Omnichannel Approach: Utilizes SMS, HIPAA-compliant chat, digital assessments, and over 70 care programs to meet members where they are.
- Enhanced Workflows: Extends care management reach and drives proactive risk mitigation with real-time clinical and social determinants of health (SDOH) insights.
- One Solution for All: Supports diverse member populations across all lines of business (LOBs) with self-service content, digital assessments, and comprehensive care programs. Educational content is structured at a 4th-grade reading level and available in multiple languages.
- Continuous Partnership: Dedicated customer support and ongoing collaboration ensure product improvements align with customer feedback and market needs.
Proven Value in Digital Care Management
A study in the Journal of Medical Economics demonstrated that Wellframe drove:
- A 17% reduction in inpatient admissions.
- A 9% reduction in ER utilization.
- $1,923 per member per year in cost savings.
Additionally, health plans using Wellframe have seen a 2x increase in active caseload size and a 6x increase in member interactions, maximizing staff efficiency and improving member satisfaction.
The integrated Care-Wellframe solution combines the GuidingCare® platform with Wellframe to streamline workflows and scale resources, offering a unified approach to digital care management.
