Care Coordination

The Healthcare Journey

Overwhelms People

50% confused about healthcare & their plan

44% stop seeking care for a needed service

24% of physician services duplicated

Care Coordinators Completely Replace Member Services

& Guide Your People Through the Healthcare Maze 

Move beyond insurance plan member services and a separate plan advocacy/ concierge vendor to supplement it.  Completely replace them both with Care Coordinators.  Our Care Coordination approach is a single, dedicated pod of about 25 professionals screened for empathy, highly trained & using patented technology.  They include nurses and plan advocates on the direct member facing team.  These health care warriors become the single point of contact for plan members and their medical providers.

Care Coordination Means Concierge Level of Service for Everyone

Care Coordinators provide:

  • Patient Advocacy

  • Care Management

  • Nurse Coaching

  • Regular Plan Services

 

Examples:

  • Find a top quality in-network provider

  • Make an appointment

  • Have test results forwarded to a doctor

  • Proactively provide post-surgical instructions to members

Stats:

  • 35% of their calls are outbound

  • 53% of their contacts are to providers on behalf of members

  • 7.5 minute ave. call time with member vs. 1.5 minute industry ave.

Key Features of The Pod

Nurses on Member Facing Team

 Plan Advocate Service

Totally Integrated

  • 1 Co-Located Team

  • 1 Phone Number

  • 1 Tech Platform

With nearly 20 years of research and application, our Care Coordinators have established systems that tell them when to reach healthcare consumers.  On average, they engage with members 56 days earlier than other models.  In order to help them get better care and avoid wasting time and healthcare dollars. 

Real-Time InterceptTM
A 56-Day Advantage

Great Things Happen With

Care Coordination

Medical Trend 

2012-2016

1.6%

Inpatients

Days

-12.5%

Net Promoter

Score

74

Data represents average results of entire book of Care Coordinator business including over 1 million plan members and is validated annually with formal reporting by a national actuarial firm.  Fix Healthcare provides this report at point of presentation.