Healthmine Enhances Member Engagement for Better Health Outcomes

Healthmine's Innovative Approach to Member Engagement

Healthmine, a leader in technology-enabled member engagement solutions, has introduced QRM Connect™ to enhance connections between members and trusted healthcare providers. This platform focuses on delivering impactful, digital-first engagement, which not only increases primary care provider (PCP) visits but also supports risk code capture earlier in the year. Healthmine aims to provide a holistic care experience that prioritizes the needs of its members.

Placing Members at the Heart of Healthcare

The QRM Connect initiative is designed with the member at its core, ensuring that any barriers to care are identified and addressed. Through this platform, members receive comprehensive support, from locating the right provider to preparing for appointments and gathering feedback after visits.

Understanding the Importance of PCP Relationships

Paul Mango, former Deputy Chief of Staff for Policy and Healthmine’s Board Chairman, emphasizes a significant portion of Medicare and Affordable Care Act (ACA) members currently lack a PCP. Healthmine’s solutions are strategically positioned to assist these members in finding appropriate primary care and establishing essential healthcare routines efficiently.

Addressing Social Determinants of Health

With QRM Connect, the resolution of barriers extends beyond just connecting members with new healthcare providers. The platform enables health plans to identify social risk factors and implement targeted interventions, ultimately making healthcare more accessible. As soon as a visit is arranged, Healthmine ensures members have the necessary tools, such as a dynamic checklist, enhancing their overall appointment experience while facilitating more thorough visits.

The Shift Towards Personalization in Healthcare

This digital-first, member-centric strategy allows health plans to significantly reduce their reliance on costly, uncoordinated in-home assessments. By focusing on maximizing the number of members obtaining care through in-person or virtual consultations, the need for IHAs can be reserved for those who genuinely require them. This proactive engagement is supported by holistic reporting mechanisms, which provide actionable data insights into scheduled and completed visits.

Healthmine's Quality Relationship Management™ Platform

Healthmine's dedicated focus on engagement is powered by the Quality Relationship Management™ (QRM®) platform. This innovative tool consolidates data while ensuring that quality and risk teams are equipped for effective and ongoing member engagement. By tailoring outreach efforts according to each member's preferred communication methods and language, the platform not only increases message relevancy but also boosts engagement rates across the board.

Building Trust for Sustainable Health Journeys

Kimberly Swanson, Chief of Staff at Healthmine, acknowledges the essential role of trust in the member experience. By fostering relationships based on understanding and support, plans can more effectively encourage members to visit their PCPs, close gaps in care, and increase re-enrollment rates. The emphasis on personalized touchpoints throughout the member journey ensures individuals feel valued and understood, promoting ongoing engagement in their healthcare.

About Healthmine

Healthmine stands as a frontrunner in delivering effective member engagement solutions. Their SaaS-based Quality Relationship Management™ (QRM®) platform is engineered to eliminate the challenges of data chasing, allowing health plans to gain comprehensive insights into member interactions. By leveraging member-level data and focusing on personalized outreach, Healthmine collaborates with healthcare plans to stimulate proactive health engagements. The use of customized triggers derived from various healthcare measures, combined with intelligent incentives, results in improved health equity and member outcomes. Healthmine's real-time data dashboards empower health plans to respond swiftly, focusing efforts on areas promising the highest impact for revenue and quality objectives.

Frequently Asked Questions

What is QRM Connect™?

QRM Connect™ is Healthmine’s innovative platform designed to enhance member engagement with healthcare providers through improved communication and support services.

How does QRM Connect™ improve member experiences?

It improves member experiences by identifying barriers to care, ensuring members have the necessary resources for their appointments, and facilitating seamless communication with providers.

Why is trust important in healthcare member engagement?

Trust is crucial as it encourages members to seek the care they need and fosters continuous engagement with health plans for better health outcomes.

Can QRM Connect™ help with social risk factors?

Yes, QRM Connect™ identifies members’ social risk factors and facilitates targeted interventions to address those needs, enhancing overall accessibility to healthcare.

What role does data play in Healthmine’s approach?

Data is central to Healthmine's strategy, allowing for tailored engagement efforts and informed decision-making to optimize member outcomes.

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