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.
Creating member “nudges” toward virtual care alternatives, Softheon and its’ payer partnership increased telehealth usage, ultimately reducing av…
Ability to measure clinical programs with efficiency and accuracy to drive cost-saving insights.
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.
an 8x increase in clinical portfolio evaluation assesses more than 50 programs focused on Total Cost of Care and identifies 15 programs with statis…
Softheon helped spark shift in Care Manager scripts and deployed an MSK predictive model to steer members to in-network physicians and to Blue Di…
Health plan sees gap closures per member per year leading to better quality as reflected in STARs rating.
Better member choices result in an 8.7% reduction in ER visits yielding a $9 PMPM savings.
Health plan helps behavioral health members make better choices leading to a 33% increase in diabetes programs, a 55% increase in behavioral app pr…
Health plan sees fewer pre-term deliveries and low birth weight babies through program participation.
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.
See how this health plan realized a 6.3% reduction in ER visits and experienced a $6 PMPM reduction through better member outreach.
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.
© 2023 Softheon. All Rights Reserved
