HEALTH PLAN SOLUTIONS

As the leader in healthcare engagement and telehealth for health plans, we’re a one-stop source for what works.

At Carenet Health, our experts have been developing custom healthcare engagement, telehealth, clinical support and advocacy programs for health plans for more than 30 years—continuously evolving to meet changing plan and member needs. Our solutions are rooted in deep clinical expertise and unmatched experience engaging with consumers both inside and outside of healthcare.

Think of Carenet Health as your enterprise-wide engagement and telehealth engine.

From closing gaps in care to motivating interactions that lower readmissions to after-hours nurse advice, if it involves connecting with your members, we can do it (and do it well). Our infrastructure can ramp up quickly to meet your needs—without you having to do it all in-house.

R

Healthcare Exchanges

R

Managed
Medicaid

R

Commercial

R

Medicare Advantage/ Medicare

saved annually for a national plan with patient engagement

custom programs implemented over past 15 years

total savings for one health plan, through one engagement program

%

higher measurable performance

Member engagement, advocacy, clinical support and telehealth solutions for health plans:

Carenet is uniquely positioned to be your plan’s enterprise-wide healthcare engagement partner, offering seamless integration and member experience consistency. Read more about how we help health plans succeed.

  • Virtual Clinic and other telehealth solutions
  • Nurse advice line (nurse triage)
  • Member onboarding and HRA support
  • HEDIS and Star measures initiatives
  • Member advocacy and navigation
  • Pharmacy cost-savings
  • Post-discharge follow-up
  • Program enrollment and utilization
  • Cost comparisons and network steerage
  • ER diversion
  • General member and clinical services support
  • And more

Intersecting at every point in the healthcare journey

WHAT OUR CLIENTS SAY

 

“On two separate occasions, Carenet has been one of the core components of a Stars program that I was involved with that jumped an entire Star in a single year. In my experience, there is no member-facing vendor that achieves higher results.”

 

Rex Wallace

Principal

Rex Wallace Consulting, LLC

Selected Resources

Three E’s for Improved Member Experience and Loyalty

Health plans know that member experience is even more important in times of intense market competition. But how can an organization that’s already doing a good job with member services measurably improve these interactions—and increase customer loyalty when it’s...

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Close Care Gaps: Health Plan HEDIS Best Practice Guide

The continued shift toward a value-based healthcare system has placed an ever-increasing emphasis on improving quality measures, closing gaps in care (e.g., annual wellness exams, preventive health screenings), and more effectively supporting chronic condition...

read more

Talk to us about your health plan’s engagement efforts.