Member Advocacy Program Reduces ER Costs by $8 PMPM

Proving the ​Value of Member Advocacy

Members increasingly want access to care the moment they need it. In Texas in particular, free-standing emergency departments are easy to access and often resemble doctors’ offices, adding to the industry-wide issue of expensive and avoidable ER visits. In light of the COVID-nineteen pandemic, telehealth solutions provide an accessible and affordable alternative for receiving care at all hours and in a safe environment.​

In partnership with one of the nation’s largest healthcare payers, NextHealth Technologies leveraged three years of historic member data to identify target members in the state who could make more cost-effective healthcare decisions. Creating member “nudges” toward virtual care alternatives, NextHealth and its’ payer partnership increased telehealth usage, ultimately reducing avoidable ER visits and securing member savings.


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