Healthmine is the industry’s leading quality improvement solution focused on empowering people to take the right actions to improve their health. We build personalized, ongoing member engagement strategies for health plans in all lines of business. These strategies are delivered via our SaaS-based, always-on platform that drives healthy action through customized triggers for clinical, pharmacy, and CAHPS and HOS measures. When paired with intelligent incentives and rewards, the net result is improved outcomes and well-managed medical spend. In addition, Healthmine clients have transparency into real-time, actionable insights on the success of member engagement and satisfaction initiatives, as well as the ability to identify and prioritize areas of opportunity to improve quality measures and Star Ratings.
Value-Base Payment (VBP):
Healthmine’s Consulting and Professional Services team comprises industry experts with more than 15 years of experience designing, implementing, and operating end-to-end value-based care programs in all lines of business and payment models, from pay-for-performance to full capitation. Healthmine’s consultants are recognized experts in all areas required for successful VBC models (quality/Stars, risk adjustment, pharmacy, enterprise data analytics, population health, health equity, and provider relations) with demonstrated track records of success in VBC arrangements in terms of quality ratings improvement, risk adjustment gap closure, total cost of care containment and provider satisfaction.
About Healthmine’s SDOH Services:
To reach and serve vulnerable populations, our platform capabilities include: • Build an application and program at the appropriate reading level, including configurable descriptions of the health actions assigned to a member • Activate dual relevant health actions such as chronic disease management, annual wellness visits, medication adherence, closing gaps in care, and more • Uncover barriers to care such as SDoH through surveys and HRAs, surfaced through the platform and in outbound reports • Offer applications, member-facing communications, and reading materials at the 8th-grade reading level for Medicare members, with the ability to adjust the reading level to meet state-specific requirements • Deliver multi-channel, multi-lingual, and culturally relevant member communications to get the right members to close the right measures, delivered at the appropriate reading and communication level • Provide a fulsome offering of reward brands, which can be tailored to the specific needs of the geographic and demographic composition of the specific H-Contract • Collaborative development of an omnichannel comprehensive communication strategy • Additionally, our Consulting & Professional Services Team can provide insight into leveraging sophisticated strategies for advancing whole-person care and addressing social determinants of health