member engagement

Decision Point Member Profile Empowers Health Plans to Provide Better Care and Guidance

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  • Written by Karen Pierce

Enables care managers to visualize the member experience, understand member behavior, and make appropriate and engaging outreach.

Decision Point Healthcare Solutions (Decision Point), the leader in health plan member experience management, today announced Decision Point Member Profile, which enables health plan teams to quickly grasp each member’s unique historical and predicted experiences so they can provide better care and guidance. Designed to dynamically match user’s goals and needs, Decision Point Member Profile delivers a 40-80 percent reduction in prep time for delivering care along with more relevant, focused conversations.

Care managers, member services personnel, and other member engagement stakeholders can log into Member Profile to quickly visualize and interpret a member’s entire experience with the plan, chronological clinical history, likely barriers to care, and behavioral predictions to steer engagement during outreach. Driven by Decision Point’s predictive analytics engine, Member Profile gives users a better understanding of their members’ utilization, satisfaction, and disenrollment risks in order to better provide care.

Decision Point Member Profile puts the following at care givers’ fingertips:

Clinical Summary – An easy to interpret single-page view of a member’s current clinical state of affairs, utilization patterns, HEDIS gaps, and medications.

Engagement Summary – A member’s identified barriers to care, participation in outreach programs, and engagement with member services, providers, and other member touch points.

Care Predictions – Likelihoods that a member is unsatisfied with the plan or provider, will be admitted to the ER, close specific care gaps, and disenroll.

“Marrying predictive analytics with active campaign management, and targeted member outreach, Decision Point Member Profile helps plans engage and manage the whole member,” said Saeed Aminzadeh, founder and CEO, Decision Point Healthcare Solutions. “Member Profile helps plans to increase multi-measure performance, decrease outreach volume, reduce member abrasion, and streamline overall case management.”

Sign up for a demonstration of Decision Point Member Profile