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6.3% Reductions ($6 PMPM) in ER Utilization in a Medicaid

WEBEXECUTIVE CASE STUDY: Delivering Outcomes The Solution and Takeaways 1. Speed to Insight The NextHealth platform was deployed within 90 days of data receipt.

Actived: Just Now

URL: https://health.softheon.com/hubfs/NHT%20Case%20Studies/6.3%25%20Reduction%20in%20ER%20Utilization%20in%20Medicaid%20Population.pdf

CMS Approved Enhanced Direct Enrollment Vendors for Carriers

WEBDepending on the lines of business’ your health plan supports, take into consideration: Customer Experience – Supporting multiple lines of business with Softheon, means you …

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Enhanced Direct Enrollment Get Started

WEBEnroll, Bill, and Renew Your Health Plan Members with Advanced Automation. With over 20 years of experience, Softheon's platform has touched millions of people and …

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Enter the ACA at Warp Speed

WEBTechnology can help you enter new markets. As the Marketplace continues to grow, health plans are pressed to find new ways to evolve. Today, a manual approach to payments …

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Unlock Your Path to Growth with Softheon

WEBImagine Your New Future with Softheon. You know the path to greater growth starts with smoother operations and smarter automation, but what does that actually look like for …

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Insights from HLTH2023: AI for Improved Consumer Experiences

WEBDuring a session at HLTH2023, a panel of experts from Kaiser Permanente, 10Pearls, and Softheon discussed the impact of AI and advanced analytics on revolutionizing payer …

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Gain ACA Expertise and Operational Efficiency

WEBTransforming Community Coverage, Together. Provider-sponsored health plans need to get the most out of their technology. When you face pressure from your parent health …

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Navigating the FFM to SBM Transition with One, Simple …

WEBCopyright Softheon nc ll Rights Reserved Navigating the FFM to SBM Transition with One, Simple Platform The Challenge: Transitioning to SBM-aligned operations in

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A Guide for Modern Healthcare Payers

WEBopyright 202 oftheon Inc All ights eserved 7 Achieving Operational Efficiency: AI-Powered Automation Healthcare payers operate in a complex ecosystem, balancing member …

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What Success Looks Like in Government Markets

WEBWhat Success Looks Like in Government Markets. The Softheon Executive Advisory Council (EAC) is an invitation-only think tank of healthcare’s most innovative minds. …

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Reliable, independent analysis reveals $70+ million in

WEBRealizable cost savings of $70+ million From insight to action in six months vs four years “When NextHealth analyzes the impact of our clinical programs, our employer

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Improving HCC Coding Capture

WEBNext Steps. The next steps in further advancing HCC coding accuracy includes: 1. Deploy a test and learn approach to amplify successful outreach to member segments with low …

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Step One in Developing a Comprehensive Telehealth Strategy …

WEBA Thorough Methodology To evaluate current telehealth utilization trends, NextHealth worked with the health plan to first segment their membership in a variety of ways, …

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Reward program reduces costs by $128 PMPM

WEBReward program reduces costs by $128 PMPM Analysis shows better outcomes and 3:1 ROI on incentivized Medicaid program The Challenge: Prove quality and cost …

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Medicare Advantage member outreach closes 4% percent …

WEBMembers advised about care opportunities when calling customer service closed 4.2 percent more care gaps Members receiving outbound outreach closed 4.4 percent

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Medicare Advantage 33% increase in behavioral health …

WEBRapid insight to action In Phase 1, NextHealth analyzed the effectiveness of the health plan’s initial marketing campaigns. At launch, these campaigns used four traditional …

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Automated Marketplace Premium Billing and Payment Solution

WEBBilling and Payment Solution Generates 37% CAGR in Net Premium Revenue. Health plans looking to enter or expand in the ACA Marketplace face significant challenges …

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We're Looking Forward to Meeting with You About EDE

WEBACA Predictive Terminations Report. Examining 2021 billing and enrollment data to accurately predict terminations and inform retention strategies.

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