Managed Care

Managed Care

Support Quadruple Aim | Benefit Member | Improve STAR Ratings

Too often, high-utilization members command resources and unnecessary hospitalizations. This drives up costs, but doesn’t improve member health.

Our CARE Platform allows your doctors to engage these high-utilization members remotely. With early detection of risks and condition changes, the member avoid unnecessary hospitalizations and unnecessary medical tests.

Unlike other telemedicine solutions, our CARE Network engages families with their aging parent. It’s more than technology, but a portal to the support that they need.

Members are happier and healthier, and your costs are contained.

Member

Quality of Life and Peace of Mind

  • Collaborative shared plan of care
  • Actionable clinical & social support
  • Detection and prevention of adverse medication related events

Provider

Productivity, Efficiency and Member Loyalty

  • More time spent delivering care

  • Productivity through video and telemonitoring, supplementing office visit

  • Pre-documented between visits via video and telemonitoring, supplementing office visit

  • Provider reporting to identify the population for strategic planning and office organization

  • Attributed Member Loyalty,  Enhanced CAHPS rating

  • Positioning for Value-based Reimbursement

Health Plan & Full Risk Providers

Enrollment and Reduced Cost of Care

  • Reduce preventable and high cost events
  • Rationalized medication
  • Risk Adjustment Factor (RAF) Scores
  • Stars/HEDIS quality and satisfaction scores

  • Improved standing on Health Outcome Survey (HOS)

Sustaining Memberships by Building Loyalty 

  • Access to timely responses

  • Individual specific guidance and support

  • Support allowing longest feasibility for residence of choice

Results and Efficiencies

Completed Surveys

With INVU, 89% of surveys were completed on our kiosk.

Member Follow-Up

With INVU, 98% of member follow-up contacts are face-to-face video calls, not phone calls.

Resolution

With INVU, 94% of alerts concern member care & support (66% of the alerts resolve care plan compliance issues; 28% of alerts resolve ad hoc member needs).

0%
of members report they use the member kiosk every week
0%
of alerts were for medication compliance issues and were resolved by call center
$0
avoided hospital fees and $5k ambulance fees, based on six-month study of 129 members who avoided 22 hospital ED visits and 12 ambulance transports

INVU Care Features

How We Improve Quality of Care and Reduce Cost for Managed Care

Feature Impact Preliminary Indicators
Call Me Button
  • Redirect level of care
  • Preventable adverse event
  • Member satisfaction
  • 22 avoided trips to the hospital*
  • 13 ambulance transfers avoided*

* 6-month pilot with 200+ members

24/7 Access to Care
  • Immediate psychosocial support
  • Ability to remain in usual and customary residence
  • 28% of alerts were psychosocial support (reduce panic and anxiety), empowering cognitive decision making and appropriate level of care
  • 60% of alerts resulted in clinical care delivery
Video Calls
  • Visual and audio assessment capability
  • Member personal connection
98% of calls to members were face to face video calls
Alerts & Reminders Care plan compliance
  • Over 75% of members found medication reminders the most important feature of the solution.
  • Drove outreach for clarification; 66% of questions were related to care plan compliance
  • Improved outcomes that mitigate the likelihood of an adverse events.
Predictive Alerts Mobilizing virtual care intervention based on survey data (weight change, blood pressure change, etc.) Timely intervention reduces risk of high cost adverse events e.g. Evelyn’s story
Member, Family & Care Giver Engagement Viable care transition support Care Team support enables a decreasing Length of Stay and reduces the potential for readmission.
Branded System (white label)
  • Member engagement and compliance
  • Member satisfaction
  • Member loyalty
The branded system delivers each participating member a trusted and direct extension of their health care plan. This increases the member’s confidence and care plan compliance, as well as loyalty.

INVU Care Network