A health plan’s journey to increasing satisfaction and reducing costs

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How a digital navigation solution helped this regional health plan

Discover how a regional health plan enhanced their member engagement and clinical outcomes strategy with a new navigation technology. In partnering with Castlight, they increased personalized and timely recommendations tailored to individual health needs to meet members where they’re at. Download our case study to explore the impact of this partnership solution on reducing total cost of care and improving care utilization.

Problem

A regional health plan offered a wide range of benefits designed to alleviate the burden of health and care on their members. In reality, less than 10% of members were actually engaging with the full range of benefits offered. The health plan realized they needed to provide a navigation solution to not only enhance their existing member experience, but drive improved engagement in healthcare & clinical outcomes.

Goals

  • Reduce total cost of care
  • Aid employer clients with talent retention
  • Become more competitive in market

Solution

The health plan partnered with Castlight to deliver a differentiated navigation and advocacy experience. Through advanced personalization capabilities, members are continually steered to the right resources at the right time and receive tailored communications specific to their health goals and conditions.

  • Members steered to appropriate care
  • Digital front door to benefits

Results

22

%

reduction in ER utilization by registered members

50

%

of registered members searched for care

2

x

more likely to engage with primary care

69

%

of At-risk members had a 3-month return rate

In this case study, we’ll explore the problems this health plan was facing, solution implemented and outcomes realized.

“The solution is technology plus a human and it makes the stories really important. We wanted to solve for digital but it’s also about connecting members to the right people, in the right way.”

What the plan had to say

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