In 2008, DMAA released the findings of a comprehensive study on the disease management and wellness industry. A key finding was the consensus among employers, health plans and disease management/ health promotion and wellness service organizations that member enrollment is the single most important attribute of program success.
Our goal is to deliver increased member/employee enrollment in disease management and wellness programs using cost-effective, data-driven, focused outreach. Our solution suite consists of:
- Data solutions-focused, targeted outreach driven by predictive modeling and risk stratification
Utilizing claims and eligibility data and applying proprietary risk stratification algorithms, members are assigned a risk level used in targeting outreach and interventions.
- Experienced enrollment specialists for outreach and HRA facilitation and assistance
Using our PROGuide system, our trained outreach coordinators are so effective in encouraging members to complete a health assessment survey that more than 80% of those members contacted went on to complete an HRA.
- Customized health status surveys and call campaigns designed for maximum response
We can work with your existing HRA or develop a customized version as well as define the type and frequency of the outreach campaigns to best suit your program objectives.
- Outreach reminder services for medication adherence
These services are available to support your initiatives to address the high costs associated with medication non-compliance or adherence to a medication regimen.
- Multi-channel communication options: web-based, paper and phone surveys
For the convenience of members, we offer the full range of survey vehicles including a mailed paper version, a web-based version or access to our phone-based outreach coordinators.
- System-generated personalized wellness and chronic disease education materials
Each survey respondent is sent a copy of My Personal Care Guide. The educational content includes customized health information and self-care guides with additional tools and resources available for high-risk individuals. Quarterly newsletters with a focus on health education, lifestyle and healthy living are also available.
- Program promotion and member triage to appropriate care management programs
Delays in enrolling members in case and disease management programs are avoided with our program promotion and member triage feature.
- Comprehensive reporting to measure clinical and financial outcomes
We provide consistent and reliable financial, operational and clinical metrics. For your clients who what to know the real value of your program, we also provide reporting on an account-specific basis.
- Additional Enrollment-related Services
- HRA development and design
- Health education materials development and design
- Focused HRA strategy through data analysis
- Integrated, sophisticated data analytics to improve success in enrollment campaigns
- An increase in your HRA completion rate by as much as 100%
- Program savings through decreased use of incentives
- Care Management Program Enrollment and Education Services
