Case Study: Revised ER Avoidance Outreach Strategy Reduces Unnecessary Utilization

A large commercial health plan expanded its partnership with Carenet Health to further reduce non-urgent ER visits and associated costs.

For two years, Carenet had been conducting ER avoidance outreach to the plan’s members after their third non-urgent ER visit in a year. While the program was highly successful, Carenet and the plan identified an area of refinement—intervention timing and criteria—that would result in greater savings.

Download the case study to learn how the plan took its ER diversion engagement to the next level.