How to Improve Your Health Plan’s ER Diversion Strategy
Health plans need to lower ER costs, no matter what type of populations they serve—from Medicaid and Medicare to private, commercial plan members. Non-urgent ER visits cost the U.S. $4.4 billion annually, and ER costs, according to a new CDC report, have doubled in...
Innovative Approach to Patient Experience Delivers 5:1 ROI
As fee-for-service payment models continue to transition to value-based ones and consumers demand more exceptional experiences from their providers, innovative patient engagement models will become even more critical. In our latest case study, we examine what...
Two Things Medicare Advantage Plans Can Do Right Now to Tackle Social Determinants of Health
When we think of healthcare consumer engagement today, especially for Medicare populations, we typically think of ways to help close critical care gaps—reaching out with reminders, scheduling appointments, helping select providers and more. These are essential...
8,300 Care Gaps Closed Leads to a Star Rating Boost and 16,847 Gaps Closed the Next Year
A case study One of the country’s most prominent Medicare Advantage plans turned to Carenet for help with increasing member adherence to HEDIS-related health measures. In addition to closing gaps in care to improve clinical outcomes and reduce costs, the client wanted...
How Are You Using Telehealth to Close Behavioral Health Gaps?
When it comes to ensuring follow-up care for individuals diagnosed with alcohol or other drug (AOD) dependence, health plans across the board are falling short. In fact, according to the 2016 HEDIS results, among the Medicaid, Medicare and commercial populations,...
Welcome Calls and HEDIS Gap Closure: Medicare Advantage
One of the country’s largest multi-state Medicare Advantage plans partnered with Carenet Health to streamline and optimize its member outreach. The plan’s topline goals: elevate the member experience, integrate numerous member touches, close gaps in care and raise its...