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.
Healthcare Exchanges
Managed
Medicaid
Commercial
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
Selected Resources
Best Practices for Effective 5-Star Medicare Advantage Member Engagement
Medicare Advantage (MA) health plans and stand-alone Part D plans (PDPs) are increasingly focused on the Centers for Medicare & Medicaid Services (CMS) Stars system. Plan leaders want that 5-Star status and the per member per month bonus revenue and other benefits...
Six Ways to Stimulate Telehealth Use in Your Health Plan Population
Offering on-demand telehealth to health plan members is a necessity in today’s marketplace. After all, it helps plans provide consumer-centric convenience and appropriate levels of non-urgent care, curb costs, decrease unnecessary ER and urgent care visits, boost...
Close Gaps in Care: Health Plan HEDIS Best Practices 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...
Talk to us about your health plan’s engagement efforts.
