Approach
The Member Navigation Framework
Help guide your members towards better choices—choices which result in better care, better outcomes, and better financial performance.
Discover the Power of Intelligent Member Navigation
The NextHealth approach to help you navigate members toward better choices is unique. We’ve created a system that complements your data and infrastructure investments. We use this to help you understand your membership at a new level and solve for specific, high-impact issues where member choice is involved. Here’s how the navigation framework operates:
You can’t force people to make smart decisions about their care, to participate in wellness programs, to take advantage of care management assistance, or utilize more cost-efficient resources. That’s why you provide outreach. This is also where the NextHealth approach shines. No standardized risk models or blanket approaches to member choice here. We deploy powerful automated intelligence and augment your standard data with supplemental data such as SDoH indicators. We help you zero in on the members who’d most likely benefit, set a baseline, structure goals, frame engagement tactics and then embark on a test/learn/optimize cycle keenly focused on the business use case you’re working to solve.
NextHealth Technologies has the capabilities, expertise, and track record to influence member behavior at scale throughout your health plan.
The Engagement Funnel
Our approach helps you easily identify:
- Which members to target
- Which channels to use to reach them
- Which engagement strategies to employ
- Who will enroll, participate, and stick with various programs
- How to scale those learnings and impact the maximum number of members
Our solutions combine an innovative platform, support from a team of experts and key technology partnerships as one coordinated set of insights all aimed at reducing total cost of care.
NextHealth as your Partner
If you’re interested in member intervention optimization, NextHealth is your ideal partner. Our experience speaks for itself. Take a look at what we bring to the table.
Using advanced analytics and algorithms, our solution measures the causal impact (financial and otherwise) of our recommendations. We do retrospective program analysis against your existing utilization data. from there we use predictive analytics to:
- Identify the most valuable member segments for outreach
- Isolate which members are most receptive and most likely to benefit from your different programs
- Discover new use cases with the highest probability of member and business impact
Our team carries a wealth of experience within the research, clinical, data science, and client success domains. NextHealth solutions have been successfully for clients nationwide. Here's a brief picture of some core deliverables you can expect as part of our process:
- Baseline program analysis and interpretations of your current state based on identified use cases.
- Expert guidance throughout the process to help ensure you are set on the right path and stay there.
- Impactability analysis to determine where your best opportunities for success reside.
- Continuous optimization insights to help drive activation and engagement within use cases.
- Member Intervention Surveillance to identify high-impact use cases from your data.
- The comfort of a proven project governance methodology.
Our solutions keep pace with your organizational demands and resources available. We can partner with you on a single use case or scale across use cases, lines of businesses, and member populations. The solutions offered were created to perform at the scale your organization needs. Some of the things that make this possible are:
- Goal and progress visualization.
- Active member engagement funnel analysis and campaign performance.
- KPI creation based on your data, your trends, and supporting your strategic goals with our lift charts.
- Inline optimization analysis based on captured learnings to drive sustained program benefit.
We only work with health plans—national, regional, and integrated health systems. Our deep understanding of payer data across all lines of business drives better outcomes for you and your members.. Our experience allows us the ability to rapidly consolidate various client- provided and third-party data sources into a single master member data file so you can make better decisions for improved results.
Director of Healthcare Analytics
Blue Plan
We were able to evaluate 50+ programs in six months with NextHealth’s platform instead of the 4+ years it would have taken us previously. This is one of the top initiatives we have implemented in 2019.
SVP Consumer Experience Solutions
Regional Non-Blue Plan
This is one of the most effective implementations we have had with any vendor to date.
Senior Director: Medical Cost Strategy & Management
National Health Plan
At a time when we needed to shift to using data to drive our decision making, NextHealth was able to deliver insights on who, what, and how to engage our consumers in two months; insights that we had not been able to generate in two years! Their knowledge and expertise in this space is making a huge difference in how we approach improving care and reducing cost.
Executive Vice President, Healthcare Economics and Operations
Blue Plan
We can continuously measure all existing and new solutions every month in perpetuity. NextHealth allows us to do it rapidly and with integrity so our team can spend time focused on what’s driving solutions instead of digging for data.
SVP, Chief Data & Engagement Officer
Regional Blue Plan
Within six months, the platform’s machine learning effectively identified which intervention had an impact – and which didn’t. Finding one signal isn’t enough to move the needle in a meaningful way – a platform allows us to continually test and learn. The journey continues, expanding the application of the platform across the new and different use cases.
1500 Stony Brook Road
Stony Brook, NY 11790
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