“The Right Programs for the Right Members” Chart

Health Resources and Outreach for Employers

Step 1.

Identification & Risk Assessment

• Medical and Rx claims
• Hospital admission data
• Referrals
• Personal Health Profile
• Health coaching

Step 2.

Wellness/Prevention

• Member tools/resources
• Incentive/Reimbursements
• Education/Reminders
• 24/7 Health Coach

Acute Condition

• Decision Support – 24/7 Health Coach
• Case Management
• Utilization Review
• Discharge Planning
• Member Tools/Resources

Chronic Condition

• Disease Management – 22 Diseases
• 24/7 Health Coach
• Complex Case Management

Step 3.

Results

• Increased member engagement and satisfaction
• Actionable reporting
• Reduced health care spending