Do you know the monthly ROI of all your clinical campaigns?

We show you.

Outcomes Matter.

Is your solution driving behavior change?

Healthcare costs continue to explode at an alarming rate. Market pressures are forcing health plans to prioritize their investments and focus only on what will deliver a proven and compelling return.

NextHealth offers a technology-enabled service that orchestrates medical cost savings in one scalable and secure platform, and importantly, can precisely measure and prove ROI. Health plan executives know at a glance exactly which clinical campaigns are working, which are not, and for which populations. Now, resources are systematically optimized so that investments are focused only on those efforts that are delivering outcomes and not wasted on what isn’t.

NextHealth’s Medicaid, ASO, and commercial health plan customers have achieved medical cost savings of $42 PMPM in avoidable ER usage and $15 PMPM in network leakage – typically in less than 90 days from deployment.

Prescriptive analytics anticipate what to say to whom

Traditional predictive analytics solutions deliver a list of high-risk members. That’s a helpful start, but just because a member is high-risk doesn’t mean he or she will change behavior in a way that delivers a favorable outcome. NextHealth goes beyond just predictive analytics with prescriptive analytics to anticipate the "next best action" for high-risk individuals and populations.

Prescriptive analytics identify specific risk reduction opportunities and then prescribes personalized member-level interventions or "nudges" to dramatically improve outcomes by changing consumer behavior.

Learn how prescriptive analytics drove a $12 PMPM medical cost reduction.
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Randomized Controlled Trials (RCT's) prove causality

"What action specifically caused the desired outcome and can we prove it?" That is the key question every executive should ask their analytics team. Proving causality is crucial to determine (and amplify) what specific actions caused a specific behavior change. Randomized controlled trials (RCT's) have long been considered the gold standard in medical research to establish the causal impact of health interventions. The control group indicates what would have happened to individuals if they had not received the intervention. The NextHealth platform integrates RCT's in its methodology to compute causal “lift” by comparing performance between the control group and the group exposed to the intervention.

Learn how randomized control trials drove a 25% reduction in avoidable emergency room visits.
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Behavioral economics "nudge" the right behavior

Behavioral economics make all the compiled data, insight and analysis actionable. The practice takes into account psychological cues such as positive/negative framing of messages and gain/loss aversion to present better behavioral choices ("nudges"). Behavioral economics provides powerful tools to positively influence the choices target populations make.

The way these nudges are presented, combined with specific visual cues, can make the “best” choice more desirable. Effective nudges don’t force individuals to change. They subtly influence people to be more rational in their decision-making - to make better healthcare choices.

Schedule a demo to learn how our experts utilize behavioral economics.
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