Health plan members often make sub-optimal choices when deciding whether and how to access care. Softheon helps you guide them to make better choices which improve outcomes, measurably.
You want members to make the right choices concerning their care. Too often, they don’t. Softheon helps you change that by optimizing the effectiveness of your member interventions across a broad range of use cases and measure the value of the improved outcomes realized.
The Pathway to Better Member Choices
Health plans struggle with the most unpredictable and seemingly uncontrollable factor: human behavior. We help you identify key themes and act on them using your data and our technology and expertise. With Softheon, you’ll have the insights and action plan to continuously identify and influence member behavior, improve activation and outcomes, and move the needle on costs across a broad array of use cases.
Intelligently predict likely member choices.
We use your existing data. Next, we use advanced technology and expertise to identify which members are most likely to engage in sub-optimal choices. We show you your highest potential opportunities and baseline performance across an expansive list of identified use cases.
Build an influential member outreach action plan.
Once you know when to focus your attention, now it’s time to engage members and influence them to make better choices. Softheon will help you set the right goals. Leverage our proprietary targeting algorithms to generate advanced member segmentation schemas and create and execute high-impact member outreach campaigns.
Measure and quantify causal impact.
Softheon’s technology and expertise helps you identify the pattern and impact of better choices. We enable configuration of all your outreach programs, including populations, Key Performance Indicators (KPIs) and similar measures. We show you the causality of action and intervention efforts.
Continuously optimize for better member choices.
Softheon helps you deploy a continuous test and learn approach that delivers a new level of intelligence based on what’s working and where to focus next. With Softheon technology and expertise, you’ll quickly realize optimal engagement and utilization patterns for members – all of which produce better outcomes and lower cost of care.
What Use Cases are on Your Mind?
Members make choices everyday. They do so across every operational domain within your health plan. Understanding the use cases you’re addressing is critical to shifting member behavior to the right choices–choices which deliver improved outcomes while reducing costs or increasing revenue. There’s always another use case, another challenge facing you. The real question is often, where to begin. Here’s some of examples of use cases across different domains–areas where Softheon has solutions to help you.
Provider Network Performance
Quality & Ratings Improvement
Member Acquisition & Retention
ASO - Competitive Parity & Diferentiation
Why Health Plan Leaders
[The partnership] was huge in helping us feel very comfortable with the propensity score and the matching of comparing cohorts…which makes us really comfortable with calculating the ROI. If we are sitting down in front of a large account, we need to be very confident with the integrity of the case study.Executive Vice President, Healthcare Economics and OperationsBlue Plan
The findings indicate that the advocacy model worked well. Coupled with the ability of the platform to dig deep, our longstanding client saw a clear path to move forward and expand the advocacy program to their general population.Chief Data OfficerRegional Blue Plan
We truly care about our members with a goal of providing “Human Care”. Our work is advancing that goal in our commercial population to deliver personalized care when and how they need it.National Health PlanProject Manager, Coffee Inc
No one gets a program right the first time. Having a platform to enable continuous measurement ensures that we keep adding value, bit by bit.Chief Data and Analytics OfficerBlue Plan