The Softheon approach to help you navigate members toward better choices is unique. We’ve created a system that complements your data and infrastructure investments. We use this to help you understand your membership at a new level and solve for specific, high-impact issues where member choice is involved. Here’s how the navigation framework operates:
You can’t force people to make smart decisions about their care, to participate in wellness programs, to take advantage of care management assistance, or utilize more cost-efficient resources. That’s why you provide outreach. This is also where the Softheon approach shines. No standardized risk models or blanket approaches to member choice here. We deploy powerful automated intelligence and augment your standard data with supplemental data such as SDoH indicators. We help you zero in on the members who’d most likely benefit, set a baseline, structure goals, frame engagement tactics and then embark on a test/learn/optimize cycle keenly focused on the business use case you’re working to solve.
Softheon has the capabilities, expertise, and track record to influence member behavior at scale throughout your health plan.
Our approach helps you easily identify:
Using advanced analytics and algorithms, our solution measures the causal impact (financial and otherwise) of our recommendations. We do retrospective program analysis against your existing utilization data. from there we use predictive analytics to:
Our team carries a wealth of experience within the research, clinical, data science, and client success domains. Softheon solutions have been successfully for clients nationwide. Here’s a brief picture of some core deliverables you can expect as part of our process:
Our solutions keep pace with your organizational demands and resources available. We can partner with you on a single use case or scale across use cases, lines of businesses, and member populations. The solutions offered were created to perform at the scale your organization needs. Some of the things that make this possible are:
We only work with health plans—national, regional, and integrated health systems. Our deep understanding of payer data across all lines of business drives better outcomes for you and your members.. Our experience allows us the ability to rapidly consolidate various client- provided and third-party data sources into a single master member data file so you can make better decisions for improved results.
Our solutions are tailored for the areas in your organization where member behavior and choice have a high impact on outcomes and financial performance.
Bring us your use case and we’ll use our solutions to influence your members towards better choices—choices that help improve their lives and your financial performance.
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