Help Your Members Make Better Choices
Health plan members often make sub-optimal choices when deciding whether and how to access care. NextHealth helps you guide them to make better choices which improve outcomes, measurably.
You want members to make the right choices concerning their care. Too often, they don’t. NextHealth helps you change that by optimizing the effectiveness of your member interventions across a broad range of use cases and measure the value of the improved outcomes realized.
The Pathway to Better Member Choices
Health plans struggle with the most unpredictable and seemingly uncontrollable factor: human behavior. We help you identify key themes and act on them using your data and our technology and expertise. With NextHealth, you’ll have the insights and action plan to continuously identify and influence member behavior, improve activation and outcomes, and move the needle on costs across a broad array of use cases.
Here’s how NextHealth helps health plans create and maintain the pathway that help members make better choices.
Intelligently predict likely member choices.
We use your existing data. Next, we use advanced technology and expertise to identify which members are most likely to engage in sub-optimal choices. We show you your highest potential opportunities and baseline performance across an expansive list of identified use cases.
Build an influential member outreach action plan.
Once you know when to focus your attention, now it’s time to engage members and influence them to make better choices. NextHealth will help you set the right goals. Leverage our proprietary targeting algorithms to generate advanced member segmentation schemas and create and execute high-impact member outreach campaigns.
Measure and quantify causal impact.
NextHealth’s technology and expertise helps you identify the pattern and impact of better choices. We enable configuration of all your outreach programs, including populations, Key Performance Indicators (KPIs) and similar measures. We show you the causality of action and intervention efforts.
Continuously optimize for better member choices.
NextHealth helps you deploy a continuous test and learn approach that delivers a new level of intelligence based on what’s working and where to focus next. With NextHealth technology and expertise, you’ll quickly realize optimal engagement and utilization patterns for members – all of which produce better outcomes and lower cost of care.
What Use Cases are on Your Mind?
Members make choices everyday. They do so across every operational domain within your health plan. Understanding the use cases you’re addressing is critical to shifting member behavior to the right choices–choices which deliver improved outcomes while reducing costs or increasing revenue. There’s always another use case, another challenge facing you. The real question is often, where to begin. Here’s some of examples of use cases across different domains–areas where NextHealth has solutions to help you.
Executive Vice President, Healthcare Economics and Operations
Blue Plan
NextHealth was huge in helping us feel very comfortable with the propensity score and the matching of comparing cohorts…which makes us really comfortable with calculating the ROI. If we are sitting down in front of a large account, we need to be very confident with the integrity of the case study.
Chief Data Officer
Regional Blue Plan
The findings indicate that the advocacy model worked well. Coupled with the ability of NextHealth’s platform to dig deep, our longstanding client saw a clear path to move forward and expand the advocacy program to their general population.
Senior Director: Medical Cost Strategy & Management
National Health Plan
We truly care about our members with a goal of providing “Human Care”. Our work with NextHealth is advancing that goal in our commercial population to deliver personalized care when and how they need it.
Chief Data and Analytics Officer
Blue Plan
No one gets a program right the first time. Having a platform to enable continuous measurement ensures that we keep adding value, bit by bit.
Chief Data Officer
Regional Blue Plan
Inbound customer service programs are another arrow in our quiver of options to influence people to make optimal choices and fully utilize their health plans, and NextHealth’s scalable platform makes rapid and detailed evaluation of member outcomes and decisions earlier.
Experience Matters
Our team has a proven track record of success impacting some of the highest spend healthcare use cases.
About NextHealth
Here are answers to some questions you might have about NextHealth.
Our customers are health plans. We currently support tens of millions of members make better decisions on behalf of national and regional health plans.
We provide technology and services solutions to address use cases across all health plan domains such as care management, marketing, provider enablement, and risk adjustment. Any department concerned with impacting member choice will benefit from our solutions.
Yes.
Member engagement companies tell you whether a member responded to a phone call or clicked on an email.
The core of NextHealth solutions is outcomes measurement, so we tell you as a result of responding to a phone call or email, did the member’s claims behavior change, if so by how much, and with what statistical confidence can we calculate the value of the improved outcomes. The difference between the former and the latter is best described as the difference between checkers and chess.
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