Solution Brief
In-home Health Assessment Operations Management Services
In-home care is an increasingly important priority for health plans investing in integrated care delivery models. In the shifting landscape of care settings, in-home health assessments are a powerful way to save costs, enhance member satisfaction and keep members connected to their healthcare.
Many plans struggle to extract the full value from in-home health assessments due to incomplete and inconsistent coding that reduce payments, logistical challenges like clinical capacity, screening kit return rates, and post-visit member follow-through.
Engagys, the leading healthcare consumer experience consulting company, has worked closely with national ‘In Home Health Assessment Providers’ to enhance and expand in-home health offerings. Our proven approach has led to significant improvements in:
- Targeting and completed appointments à maximized value of each Annual Well Visit (AWV) appointment
- Care gap closures à lowered medical costs and higher Stars scores
- Workflow and technology optimization à operational cost savings
- Member experience à health plan satisfaction improvement
Suite of Services
In-home Health Assessment and Testing Completion
Increase completion of in-home health assessments, screenings and post-visit follow-ups.
- Proven strategies to increase scheduling and completion of AWV appointments and improve patient participation in home testing like colorectal cancer screenings and kidney evaluation tests.
- Drive post-visit completion of PCP follow-up, labs and medication adherence.
Our approach helps clinicians understand and overcome common challenges related to member participation in at-home testing and post-visit follow-through. The appointment is not complete when the provider leaves, and Engagys can help you drive member action through the entire process.
Member population analysis and recommendations
Maximize in-home appointment value with a deep understanding of your member population.
Engagys coordinates and manages deep analysis of your data, connecting elements and uncovering insights that help you identify and effectively target eligible members. Layered with internal insights and public data analysis, this process will set the stage for delivering impactful outreach that drives value for you and your members.
Get actionable recommendations for
- Prioritizing members most likely to engage with and benefit from an in-home health assessment
- Optimizing channel mix based on member preferences and behavior
- Connecting data sources to build a multifaceted view of your population
Tailored, scalable member journeys
Improve member experience and health outcomes by reaching out to the right members in the right channel at the right moment.
- Tailored member journeys enable you to complete more health assessments and increase member engagement with PCPs.
- Personalized content reinforces the value of the action for individual members and leads to greater trust and member satisfaction, while leveraging scalable practices to keep your workforce capacity in scope.
- Track members throughout the journey to close gaps in coding that can reduce payments and ensure appropriate follow-up.
Engagys develops end-to-end member journeys that leverage your current and planned infrastructure, drive members to the desired action, and generate results to inform future communications. Our strategies have increased the number of in-home health appointments scheduled and completed, closed gaps in care in the in-home setting, and contributed to medical and operational cost savings for our clients.
End-to-end workflow evaluation and optimization
Make the most of your current workflows and enabling technology while identifying gaps and opportunities for improvement.
- Full assessment of engagement technology, to identify quick wins and long-term strategy.
- Optimize or migrate from legacy technology platforms to support in-home health and other campaigns.
- Shorten cycle times to reach the right members faster.
Engagys uses years of experience in payer technology to understand your unique workflows, and recommends short- and long-term strategies to make the most of your tools. Our workflow optimization helps plans resolve logistical challenges to scale operations and streamline cycles to maximize the use of existing tools and technologies.
