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 ModelingTo 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.

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

  • Increase member confidence and satisfaction by educating members about care options, communicating relevant information, and delivering high quality care at a lower cost.
  • Drive members to preferred providers and facilities rather than to family and friend referrals or to providers recommended by their primary care physician.

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

  • 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/facility(1)

      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.

Our outcomes

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