HEALTH PLAN SOLUTIONS
The leader in telehealth and member engagement for health plans.
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.
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
%
lower readmissions for one plan via outreach program
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)
- 24/7 healthcare customer service and support for patients and health plan members
- Member onboarding and HRA support
- HEDIS® and Star measures initiatives
- Member advocacy and navigation
- Healthcare consumer experience analytics and Healthcare Service Journey insights
- Post-discharge follow-up
- Pharmacy cost-savings
- Program enrollment and utilization
- Cost comparisons and network steerage
- ED diversion
- After-hours clinical servicesÂ
- Remote patient monitoring and in-home care support
- And more
Intersecting at every point in the healthcare journey
*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Selected Resources
Close Gaps in Care: Health Plan HEDIS Best Practices Guide
In one of our most popular ebooks—freshly updated!—we provide 11 essential best practices, ideas for inspiration and several additional key insights to help your health plan take member HEDIS® engagement to the next level. Member outcomes and quality measures,...
Support for Your HEDIS and Star Ratings Improvement Efforts
How can Carenet Health solutions help your plan improve NCQA HEDIS®  and CMS Stars measures? Start with this list, mapped to specific measures. From onboarding to annual well visits to medication adherence and much more, Carenet can help you implement targeted...
A Turning Point in the Complex Intersection of Consumer Needs, Changing Care Access and Advocacy
Download our trend brief today to explore the connection between consumerism, telehealth and the quick-rising need for health advocacy in the age of COVID-19. Healthcare organizations—especially health plans—were already feeling pressure to improve customer...
It’s time to get serious about your health plan’s member engagement performance.