We’re helping health plans across the country help their members make better choices. We are doing this across virtually every line of business (commercial, Medicare, and Medicaid). See health plan clients just like you realizing some pretty amazing results.
National Health Plan accelerates telehealth adoption by targeting member segments and optimizing engagement
Creating member “nudges” toward virtual care alternatives, NextHealth and its’ payer partnership increased telehealth usage, ultimately reducing av...View Case Study
Improved measurement of clinical programs drives cost savings.
Ability to measure clinical programs with efficiency and accuracy to drive cost-saving insights.View Case Study
Health plan influences member behavior and realizes significant costs savings and avoidable ER visits.
Ability to measure clinical ER visits declined by 8.1% and costs by $8 PMPM; Avoidable ER visits decreased by 5.1% and $0.35 PMPM.View Case Study
Health plan accelerates clinical program evaluation identifies $70 million in savings.
an 8x increase in clinical portfolio evaluation assesses more than 50 programs focused on Total Cost of Care and identifies 15 programs with statis...View Case Study
Health plan influences members to move to in-network providers and alternative settings and realizes $42 PMPM in MSK costs.
NextHealth helped spark shift in Care Manager scripts and deployed an MSK predictive model to steer members to in-network physicians and to Blue Di...View Case Study
Tailored member engagement strategies improve STARs rating performance.
Health plan sees gap closures per member per year leading to better quality as reflected in STARs rating.View Case Study
Predictive analytics and better member choices deliver cost savings for this health plan.
Better member choices result in an 8.7% reduction in ER visits yielding a $9 PMPM savings.View Case Study
Medicare Advantage plan accelerates enrollment of BH member population.
Health plan helps behavioral health members make better choices leading to a 33% increase in diabetes programs, a 55% increase in behavioral app pr...View Case Study
See how better member choices improved maternity care.
Health plan sees fewer pre-term deliveries and low birth weight babies through program participation.View Case Study
Members make better choices and significantly reduce ER visits, cost, and utilization.
See how this Medicaid plan realized a 25 percent reduction in ER visits and a 39% ED cost reduction for a predicted high utilizer population.View Case Study
Highly targeted member outreach shifts behavior and shifts utilization.
See how this health plan realized a 6.3% reduction in ER visits and experienced a $6 PMPM reduction through better member outreach.View Case Study
The NextHealth Technologies Executive Advisory Council (EAC) is an invitation-only think tank of healthcare’s most innovative minds. Senior executives from regional and national health plans, representing approximately 65 percent of the U.S. population, and integrated delivery systems meet quarterly in a collaborative, small-group setting to discuss how to impact healthcare affordability and member satisfaction.
Download our meeting summaries