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Quality Programs

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We have extensive experience driving impact for over three dozen HEDIS measures across the different domains from Effectiveness of Care to Access / Availability of Care to Risk Adjusted Utilization. Use tried-and-tested content strategies or rapidly customize from our dynamic content library based on your priorities and budget. Health plans count on us to move swiftly from prescriptive blueprint through execution and regular outcomes analyses. The result is a track record of statistically significant improvements and improving / maintaining scores.

Adolescent Well Care

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Customer: Health Plan in New York
Objective: Increase Well-Care Visits (AWC)

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up arrow 31 %

More Well-Care Visits

Breast Cancer Screening

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Customer: Large Federal Employee Program
Objective: Increase Breast Cancer Screening Rate (BCS/C01)

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up arrow 13 %

Higher screening rate

Annual Dental Visit

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Customer: Health Plan in Florida
Objective: Increase Preventive Dental Visits (ADV)

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up arrow 9 %

More Dental Visits

Childhood Immunization Status

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Customer: Health Plan in Hawaii
Objective: Increase Childhood Immunization Compliance Rate (CIS)

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up arrow 21 %

Higher CIS Compliance rate

Emergency Department Diversion

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Customer: Health Plan in Indiana
Objective: Decrease Unnecessary Emergency Department (ED) Visits

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down arrow 50 %

Lower ED Visits (at 3rd Quartile)

Cervical Cancer Screening

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Customer: Health Plan in New York
Objective: Increase Cervical Cancer Screening Rate (CCS)

up arrow 26 %

Improvement over Control

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Disease & Care Management

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Our Disease Management programs satisfy contract requirements in a meaningful way, support relevant HEDIS measures and help manage medical costs. Programs run year-round, cover a broad range of conditions and supplement your incentive and offline initiatives. For more complex members, Care Management teams leverage our web portal to have one-on-one conversations. We contribute to better member engagement, better barrier identification and better insights into your population.

Comprehensive Diabetes Care

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Customer: Health Plan in West Virginia
Objective: Increase Diabetes Testing/Compliance Rate (CDC/C13, C14)

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up arrow 7 %

More Testing Compliance

Maternal Health 1

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Customer: Health Plan in Pennsylvania
Objective: Increase Prenatal and Postpartum Visit Rate (PPC)

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up arrow 12 %

Higher Visit Rate

Behavioral Health

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Customer: Health Plan in Indiana
Objective: Increase Follow-up After Hospitalization (FUH-7)

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up arrow 30 %

More Follow-ups

Maternal Health 2

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Customer: Health Plan in New York
Objective: Increase Frequency of Prenatal Care (FPC)

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up arrow 19 %

Higher Visit Rate

Health Needs Screening

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Customer: Health Plan in Massachusetts
Objective: Increase Health Needs Screening Completion Rate

59 %

Completion Rate

Asthma

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Customer: Health Plan in West Virginia
Objective: Increase Asthma Medication Adherence (MMA)

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up arrow 109 %

Better Adherence

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Member Satisfaction

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The holy grail is no longer member engagement — it is member satisfaction. Broad-based outreach strategies have proven suboptimal. HealthCrowd Streams solves this problem with targeted individualized communications. Similarly, omni-channel capabilities are no longer sufficient. In response, we pioneered Harmonization in healthcare — channels working together to mimic natural, real-life communications, bringing healthcare up to par with other industries. In short, our Orchestration platform makes it easy to align member satisfaction with health plan financial performance.

Making PCP Connection

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Customer: New Health Plan in Florida
Objective: Effectively create Plan and PCP Awareness for Newly Acquired Members

100 %

New Membership Reached Digitally in under 6 Months

Benefit Awareness

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Customer: Health Plan in New York
Objective: Prompt Members to Learn about Benefits

9 %

of Members Called Immediately to Learn More

HOS / CAHPS

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Customer: Health Plan in New York
Objective: Increase Pre-CAHPS Survey Completion Rate

42 %

of Members Outreached Completed the Survey

Post Appointment Survey

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Customer: Health Plan in Lousiana
Objective: Increase Post Appointment Feedback Collection

25 %

of Members Outreached Completed the Survey

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Revenue Optimization & Retention

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A compelling digital communications strategy impacts KPIs and top-line revenue. Our holistic programs cover a broad spectrum, including new member acquisition, well visits for risk adjustment, VIP member appreciation, DSNP member focus, age-in conversion, actionable redetermination, premium payment, closed-loop social needs amplification and more based on population characteristics. The result is doing good business by doing good work.

PCP / Home Visits for HCCs

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Customer: National Health Insurser
Objective: Increase Show Rate

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up arrow 45 %

Better Show Rate

Telehealth Visits

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Customer: Health Plan in New York
Objective: Drive Telehealth Adoption

18 %

Of Member Outreached Registered and Had a Visit in 30 Days

Redetermination

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Customer: Health Plan in Texas
Objective: Drive Timely Member Redetermination

12 %

Of Members Outreached Called Renewal Hotline Shortly

Payment

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Customer: Health Plan in New York
Objective: Accelerate Premium / Payment Collection

up arrow 22 %

Improvement in Collection Rate

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Preventive SDoH Outreach

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Preventive SDoH Outreach refers to proactive outreach to identify members who have a social needs and proceeding to address it. Health plans strategically leverage HealthCrowd throughout their workflows to amplify their efforts. Whether it is amplifying outreach to create awareness amongst members in need, rolling out specific strategies for targeted populations, or closed-loop outreach from identification to benefit attainment, we deliver results that produce measurable ROI while helping millions in need.

Food Insecurity

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Customer: Integrated Delivery Network
Objective: Drive SNAP Awareness and Applications in CA

62k

SNAP Application Resulted from Outreach

Closing Referral Loops

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Customer: Regional Health Insurer
Objective: Understand What Happens Post-Referral

88 %

Of Members Who Responded Received Help via Referral

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Pharmacy

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Pharmacies are evolving their digital communications from transactional to relational. HealthCrowd’s targeted content, individualized communications, original digital creative / assets and white-labeled nanosites embrace and elevate your brand. The result is automation at scale with a high-touch feel. Outperform contract requirements while further differentiating your pharmacy.

Medication Adherence

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Customer: Health Plan in New York
Objective: Improve Medication Adherence for Medicare Members

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up arrow 14 %

More Medication Adherence

Refill Confirmation

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Customer: Regional Specialty Pharmacy
Objective: Automate Complex Refill Confirmation Process

68 %

Of All Refills are Now Automated

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Member Expedition

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We use the term ‘Expedition’ instead of ‘Journey’ because an expedition is a journey with a purpose. Communications should not be sent for communication’s sake. Health plans that benefit the most from their investment in HealthCrowd leverage us across all departments, affiliates and vendors. We create a digital communications blueprint based on your organizational objectives, from orchestration to brand elevation. The result is everything you need to know about communications with your members, outcomes and insight from a single control panel.

Member Sentiment

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Confirm Positive Experience and Sentiment from Member Responses

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Prioritized Communications

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Manage Member Expedition through Policies, Business Rules and Priorities

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