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Our wellbeing management program provides cost-effective health management through a comprehensive member experience. Clinical outreach is focused where it can have a significant impact, helping to improve health outcomes and drive near-term, hard-dollar savings.
This clinical model proactively identifies members dealing with significant health challenges. A care team, led by a health advisor, collaborates to deliver tailored interventions that may help members adhere to their care plan, improve health outcomes and eliminate unnecessary costs. Members can interact with their health advisor through a variety of convenient channels, including the ability to schedule a callback.
State-of-the-art algorithms help health advisors identify members earlier in their health journey and deliver interventions that can have the greatest impact on health outcomes and cost of care.
Personalized reminders emphasize the importance of annual visits, preventive screenings and immunizations. Engaging educational messages encourage members with chronic conditions, such as diabetes and asthma, to take actions to improve their own health.
Evidence-based care yields improved health and financial outcomes. Our UM processes help prevent misuse and overuse, which can improve member health and reduce medical spend. Programs address a wide spectrum of health care costs, including: