Predictive Engagement

A multi-channel member communications solution, using predictive analytics, for payers that want to identify members in need of high-cost procedures to improve their outcomes and reduce payer costs.
 

Predictive Modeling To Help Empower Smarter Choices

Help reduce cost per episode of high-cost procedures and maximize your value-based pricing and plan design structures to achieve significant savings.

Drive members to preferred providers and facilities rather than to family and friend referrals or to providers recommended by their primary care physician.

Build member trust and engagement by applying behavior-based techniques and interacting with members early in their health journey.

Support improved quality care standards, such as lower readmission rates by guiding members to preferred providers and facilities.

Increase member confidence and satisfaction by educating members about care options, communicating relevant information, and delivering high quality care at a lower cost.

Reduce wasted marketing costs and member abrasion by targeting only those members most likely to benefit.

Predictive Member Engagement for Better Health Outcomes

AI-powered predictive analytics

  • Apply industry leading, AI-powered predictive analytics to your claims data to identify at-risk members and score the probability that they will receive a specified procedure.
  • Target symptomatic, high-cost variability procedures with precision — before the episode of service occurs.

Engaging member communication campaigns

  • Communicate with members using a blend of behavior science techniques and consumer experience design, matching member traits with personalized content to drive desired outcomes.
  • Use targeted, multi-channel campaigns to introduce softer messaging early in the episode, building trust, and allowing members to learn more when their interest is piqued.
  • Save up to $7500 per episode of care by helping your members choose a preferred provider/facility1

1 The Health of America Report, collaboration between BCBSA and Blue Health Intelligence


Industry-tested and proven experience

  • Leverage 17 years of experience to engage members in active healthcare decisions.
  • Collaborate with our award-winning team that partners with you to design, implement, launch and service programs that meet your organization’s needs.
  • Customize the solution through our flexible hosting and integration options.

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