The HealthEdge Wellframe™ Solution Suite

High Risk Member Engagement

Wellframe’s Digital Member Engagement solution redefines how health plans care for high-risk members. Using innovative digital tools, care teams gain the ability to deliver proactive, real-time support at scale.

Traditional approaches often fail to provide comprehensive and continuous support for complex members, leaving crucial needs unmet. Wellframe bridges this gap by enabling omnichannel communication, real-time clinical insights, and comprehensive digital care programs that align with each member’s unique health needs. The platform streamlines care coordination, enhancing operational efficiency for health plans while delivering tangible improvements in health outcomes.

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Features

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Member Experience

Our flexible member experience offers bidirectional chat, digital assessments, personalized clinical programs, biometric tracking, and on-demand, self-service resources. We help health plans like yours curate resources around members’ unique needs to improve experiences and care outcomes.

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Staff Dashboard

Your teams have access to all the member information they need in one place. This makes it easy for them to build more – and stronger – connections across each member’s health journey.

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Clinical Care Programs

70+ digital care programs are designed to support the full range of clinical and non-clinical member needs, from care transitions to maternal health. They’re accessible to a wide variety of members and their caregivers, with content available in multiple languages.

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AI-Powered Innovation

AI-enabled capabilities empower care teams to deliver more efficient support with dynamic insights, automation, and personalized member engagement.

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Member Marketing

Member marketing services supports health plans with onboarding and engaging members to help them fully understand and more effectively utilize their health coverage and benefits.

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Customer Partnership

Achieve your digital transformation ambitions with a proven collaborator. Our partnership provides hands-on support and digital health management services to help maximize member engagement and differentiate your organization.

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Assured Privacy and Security

Privacy and security are baked into the core of our technology. In addition to HIPAA and AICPA SOC2 compliance, our platform offers application security through single sign-on (SSO), strong password requirements, and multi-factor authentication. Plus, you benefit from the infrastructure security strengths of the Google Cloud Platform (GCP).

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See for yourself how Wellframe can help you improve experiences and care outcomes.

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Why We’re Different

Clinician-Led Expertise

Our physician-led organization is supported by a robust team of clinicians with more than 450 years of combined experience. This helps ensure our solutions are thoughtfully designed to tackle real-world healthcare challenges.

Comprehensive Digital Engagement

Consolidate your digital member engagement ecosystem with a singular solution designed to support diverse member populations across varying clinical conditions, risk levels, and lines of business.

No Wrong Front Door

Our flexible member experience options, available through a mobile app, web-based platform, or embedded in your health plan’s digital assets, empower you to connect with members wherever they are.

Solutions for Every Stage of Digital Maturity

Whether your health plan is just beginning to modernize workflows or refining a sophisticated ecosystem, our adaptable platform scales to support plans at all stages of digital maturity.

Proven Outcomes

Wellframe is proven to enhance clinical outcomes with $1,923 in cost savings per member, a 9% decrease in emergency room visits, and a 17% reduction in inpatient admissions, while expanding staff capacity. On average, payers see a 200% increase in active caseload size for clinicians and care providers.

Customer-Centric Innovation

We are dedicated to meeting health plans where they are, guided by a dynamic feedback loop that amplifies the voices of our customers, ensuring our solutions evolve seamlessly with the market’s ever-changing demands.

Partnership and Cobranding

We collaborate with your organization to drive digital transformation through seamless implementation, member onboarding, and staff education, enhancing your member engagement while keeping your brand at the forefront.

HealthEdge Care-Wellframe Integration

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Care-Wellframe is a scalable, flexible integration that brings together Wellframe and GuidingCare, our full-spectrum care management platform, into one unified solution that offers health plans a comprehensive package with the right tools to transform their care management function.  

The Care-Wellframe integration enables health plans to: 

  • Streamline Care Management Workflows: A fully integrated solution provides care managers with a comprehensive member view through a singular care management platform – no more swivel chair. 
  • Enhance Member Engagement: Meet members where they are on their own terms through omnichannel communication and a multi-modal digital front door. 
  • Scale Care Management Resources: Maximize care manager efficiency and support more members with dynamic decision support tools, alerting logic, and instant access to clinical and community SDOH resources. 

With Care-Wellframe, health plans unlock the power to revolutionize care management operations and elevate member outcomes through a seamless, unified solution designed for impact and scalability. 

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