Integrated Care Management with HealthEdge Care-Wellframe

HealthEdge Care-Wellframe introduces a breakthrough solution for integrated care management, aimed at transforming the way health plans operate in today’s complex healthcare landscape. It combines HealthEdge’s GuidingCare, a full-spectrum care management platform, and Wellframe, a digital member engagement solution, creating a unified platform that empowers healthcare providers, members, and health plans alike.

Addressing Rising Challenges in Care Management

With increasing healthcare costs, regulatory pressures, and consumer demands, health plans face immense challenges, including staff shortages and the growing complexity of chronic conditions. Care-Wellframe tackles these issues by enhancing efficiency, improving member engagement, and enabling proactive, data-driven interventions.

Key Features and Benefits:

1. Seamless Data Integration

• Eliminates duplicate data entry with bidirectional sharing between GuidingCare and Wellframe.
• Offers single sign-on for a streamlined workflow.

2. Omnichannel Member Engagement

• Digital outreach and assessments through a mobile-first platform.
• Improves member accessibility with fewer barriers to support and care.

3. Proactive Workflows

• Care managers are equipped with real-time member alerts and insights, enabling them to prioritize high-risk cases.
• Enhanced clinical education resources and tailored care plans ensure personalized interventions.

4. Enhanced Operational Efficiency

• Reduces administrative burden, allowing care managers to scale their reach and focus on high-value tasks.
• Results in cost savings and improved case load capacity (e.g., 2x increase in active case load size).

5.Improved Member Experience

• Members benefit from accessible digital health journeys, personalized health content, and direct communication with care teams.
• Boosts satisfaction ratings, evidenced by a 4.7/5 star rating on the app store.

6. Cost Containment and Compliance

• Drives cost-effective care through data-driven insights and proactive management.
• Helps ensure compliance with thorough reporting tools and regulatory alignment.

Why Choose Integrated Care Management?

Care-Wellframe delivers measurable results across all key stakeholders:

• Care Managers experience expedited access to meaningful data and reduced operational inefficiencies.
• Health Plans achieve higher performance ratings, reduce costs, and enhance member enrollment.
• Members enjoy simplified care access and personalized experiences, resulting in greater loyalty and satisfaction.

Tangible Business Impacts:

• $1,923 per member in cost savings annually.
• Empowered member engagement, leading to increased satisfaction and enrollment.
• Scalable operations, enabling health plans to handle increased case loads with fewer resources.

Drive Innovation With HealthEdge

HealthEdge is redefining integrated care management by combining cutting-edge technology and a disruptive approach to traditional models. Trusted by 116+ health plans covering over 110 million lives across 48 states, HealthEdge is a reliable partner for organizations seeking innovation and operational excellence.