How we helped a client prove their ROI in front of their clients

How we helped a client prove their ROI in front of their clients

Problem
  • We have worked with a broker for 3 years now and serviced 10 odd clients in the city/municipality space. The broker was facing the following difficulties:
    • Retaining existing clients
    • Winning new clients
    • Justifying the cost of retaining their wellness partner for diabetes
Solution and Impact
  • Using zAnalytics for all employers and zConnect in the case of few employers, coordinated processes and key insights have improved clinical compliance among members.

  • Collective efforts of presenting insights report on a regular basis, managing the high-risk population with the wellness provider and communicating different campaigns have improved utilization trends in multiple aspects. 

Overall Impact

 

 

Low mail-order Rx utilization

Low mail-order Rx utilization

Problem
  • Only 1% of medications for chronic conditions went through mail-order pharmacy for this group
Solution
  • Through zConnect, we ran a communication campaign to encourage members to utilize mail-order pharmacy

 

Impact
  • 40% of medications for chronic conditions went through mail-order pharmacy after the campaign was sent out 

 

 

Visual storytelling of data helps a large supermarket client with strategic decisions

Visual storytelling of data helps a large supermarket client with strategic decisions

Problem
  • The employees belong to a low-income group and the healthcare costs are rising by the year
  • The employer is unable to understand the cost drivers
  • They are finding it difficult to reach out to the members with directed actions
Solution
  • The visual dashboard of zAnalytics told a clear story of the cost drivers and pain-points
  • Dynamic reporting highlighted the main problems with this group including high ED utilization etc.
  • The Track section showed data drilled down to member-level to understand engagement metrics

 

Impact

Strategies were put in place to decrease ED utilization and also evaluate the member outreach platform to keep members engaged

  • The employer was able to set a clear strategy for the condition management program in place and also for future programs.
  • The employer is evaluating zConnect to communicate with the employees regarding actions and steps that can be taken to better their health. Since the employees are away from their computers because of the nature of their work, it is not easy for the employer to engage with them. Using zConnect, the employer believes that it will help them reach out to their population and keep them engaged.

 

 

zAnalytics insights transforms TPA offerings

zAnalytics insights transforms TPA offerings

Problem
  • Bringing diverse datasets from multiple sources was challenging
  • Reporting lacked direction and tangible action opportunities

 

Solution
  • Visual dashboard tells a compelling story about where to focus
  • Reporting includes decision-support for opportunities and action

 

Impact

Client retention and growth achieved through specific, data-driven policy and program optimization:

  • Leverage our visual and actionable dashboard to support benefit consultants and employers to identify 10-15% worth of cost containment, empowering their account execs
  • Support care management by bringing predictive risks and all member level financial, utilization, condition risk and response data in one place. By identifying 25% more high risk members, and reducing the call time by 15 minutes, they are able to deliver better risk and cost containment
  • Our member centric recommendation, notification and communication tool is helping employers, benefit consultants and the TPA to turn insights into member actions that are tracked. Eg., for one employer, 67% of identified members closed one or more gaps in care
  • AI Chat bot has the potential to reduce 50% – 70% of the calls to the TPA, generating immediate value and improved member experience and opportunity to re-direct members pro-actively to better places of care

 

Direct communication to close gaps in care

Direct communication to close gaps in care

Problem
  • Large prevalence of high-risk, multiple chronic co-morbidities and historically low level of employee engagement

 

Solution
  • Personalized communication using member-level data on gaps in care and chronic conditions
  • Text and email outreach campaign with directed action steps

 

 

Impact
  • Nearly ¾ of members contacted using zConnect closed 1 or more gap in care during the campaign period
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