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.

What’s included in Predictive Engagement

  • AI-powered predictive analytics

    • Industry leading, AI-powered predictive analytics
    • Apply to your claims data to identify at-risk members
    • Target symptomatic, high-cost variable procedures with precision
    • Identify these procedures before the episode of service occurs
  • Engaging member communications campaigns

    • Communicate with members using a blend of behavior science techniques and consumer experience design
    • Match 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
    • Help engage members in active healthcare decisions
    • Collaborate with our award-winning team
    • Customize the solution through our flexible hosting and integration options

Predictive modelingto help empower smarter choices

Predictive Engagement - businesswoman looking out the window while at work

Health insurance predictive analytics to reduce costs across the board

Help reduce cost per episode of high-cost procedures and maximize your value-based pricing and plan design structures to achieve significant savings. 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 Engagement - businesswoman on a video conference call

Behavior-based techniques to build member engagement

Build member trust and engagement by applying behavior-based techniques and interacting with members early in their health journey. Our health insurance predictive analytics can help increase member confidence and satisfaction by educating members about care options, communicating relevant information, and delivering high quality care at a lower cost.

Predictive Engagement - doctor working at computer

Use health insurance predictive analytics to drive preferred providers

Drive members to preferred providers and facilities rather than to family and friend referrals or to providers recommended by their primary care physician. Our healthcare insurance predictive analytics provide the opportunity to partner to design, implement, launch, and service programs that meet your organization’s needs, as well as the needs of members.

Our outcomes

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