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.

Piechart showing the kinds of health plans Carenet supports including Medicare, Medicaid and others

Don’t miss our collection of best practices

Serving 100+ of the nation’s leading Medicare, Medicaid and commercial health plans.

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 services
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).

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

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...