What's Next for Well-Being | Part 2: Integrating Well-Being into the Healthcare System
In the first of our four-part blog series, What’s Next for Well-Being?, we examined the economic consequences caused by well-being programs and the healthcare system operating in two largely disconnected silos. In today’s blog, we explore how to close the gap between these two “systems of care” to create a seamless and connected care experience.
The Next Right Thing To Do
Staying healthy is an ongoing process. It’s a lifelong journey in which various health issues—from losing weight to lowering blood pressure—arise and then, hopefully, are resolved for each member.
An effective well-being program will prioritize each member’s issues by their clinical importance and then provide a step-by-step journey that addresses each one. Such a program provides the resources, tools, information and incentives to meet each member wherever they are on their journey to greater well-being. At Pager, we call this approach The Next Right Thing To Do.
But a truly effective well-being program should not stop there. It should also provide a seamless connection to the healthcare system whenever a person has a medical issue. It should facilitate care navigation by seamlessly connecting the member to the most appropriate healthcare providers through nurse-led engagement via each member’s preferred communication channel – chat, text, phone, or video—all in one connected care experience.
By helping members connect to and navigate the healthcare system, overcome barriers to care, and improve follow-up care, this kind of integrated well-being program significantly reduces the unnecessary costs we discussed in our first blog. For example, Pager’s integrated platform has achieved:
40% Reduction in ER Readmissions
64% Improvement in Medication Adherence
70% of Encounters Navigated to Lower-Cost Care
$210 Savings per Clinical Encounter
One Platform, Many Markets
Another requirement for well-being programs to offer a completely seamless care experience is the ability to serve multiple markets (Commercial, Medicare Advantage, Individual, etc.).
For example, take the case of a member who is in her early 60s and will soon be making the transition from a commercial to a Medicare plan. By having a One Platform, Many Markets capability, a health plan can reach out to this member in the years before she makes the transition and help her make an informed decision. Ongoing communications, such as tiles on each member’s personalized website portal, can provide information and encourage members to understand the value of the payer’s Medicare Advantage plan. The transition from a commercial to a Medicare plan becomes a helpful learning experience, not a sales process, and the health plan becomes a valued educational resource for the members by guiding them through the process. All of this strengthens brand loyalty and increases member retention. By taking this One Platform, Many Markets approach, Pager delivers a seamless white-labeled consumer experience whenever members are making the transition from one market to another.
In a recent survey, 81 percent of consumers expressed dissatisfaction with their healthcare experience and interest in using a unified digital solution.See for yourself how Pager’s end-to-end connected care experience is transforming healthcare and realizing new efficiencies. Contact us today for a free demo.
