Solution

Reduce healthcare risks by 20%Achieve 3% healthcare cost savings

IDENTIFY

Predictive analytics help you understand risks driving costs

ACT

Leverage ready-to-use action plans to improve benefit utilization and drive member action

CONNECT

Service members 24/7 to improve member experience and engage and motivate behavior change

TRACK

Visualize the impact of action on spend and member health

Let us help you...

Reduce healthcare risks

Improve member engagement

Measure the effectiveness of programs

How we helped one TPA reduce an

employer's ER visits and save $$

Problem

TPA faced:

  • Rising healthcare costs (17.68%)
  • High current risk (1.28)
  • Cost driver identified: 12% increase in emergency room (ER) visits vs. previous year
  • Unsuccessful TPA Solutions: changes in co-pay amount
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Identify

We were able to identify:

  • ER spend: $335,000
  • 25.18% increase from previous year
  • 9.2% of total healthcare spend
  • Large amount of dollars available in avoidable ER usage
    • MARA risk score
    • Visiting members chronic conditions (14% of avoidable spend: hypertension)
    • Frequent flier details

Act

  • TPA decided to take action to help hypertensive members that were driving the ER costs
  • zakipoint Health recommended the most effective action plans, one of which was enrolling members in hypertensive and diabetes management programs hosted in the zConnect mobile app
  • TPA clicked a button to take action
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Connect

  • Affected members received personalized notifications to take action via zakipoint Health's member app
  • The app provided members with recommendations for nearby Urgent Care facilities
  • 50% of typical member questions answered instantly on app

Track

  • Risk score decreased by 17.20%
  • Engagement improved
  • Medical ER visits decreased
  • TPA was able to save $$
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PREPARE YOURSELF FOR SUCCESS

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Working with zakipoint Health, the TPA was successfully able to:

  • Direct members to the best places for care to improve care quality and outcomes, and lower costs
  • Help improve care quality by getting needed information to the right member at the right time
  • Identify and communicate with members with chronic conditions to initiate action and deliver better outcomes
  • Close member gaps in care, reduce ER usage, and Rx costs
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