SUCCESS STORIES

See The Impact of Better Member Choices for Health Plans

When your members make better choices, everyone benefits.

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.

Commercial Success Stories


National Commercial Plan

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...

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Regional Blue Plan

Improved measurement of clinical programs drives cost savings.

Ability to measure clinical programs with efficiency and accuracy to drive cost-saving insights.

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Regional Blue Plan

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.

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Regional Blue Plan

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...

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Medicare Success Stories


Regional Blue Plan

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...

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Medicare Advantage

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.

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Medicare Advantage

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.

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National Commercial Plan

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...

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Medicaid Success Stories


National Medicaid

See how better member choices improved maternity care.

Health plan sees fewer pre-term deliveries and low birth weight babies through program participation.

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Regional Medicaid

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.

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Regional Medicaid

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.

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Insights and additional resources for measurable change.


Executive Advisory Council

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

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