Use Cases for Healthcare Payers: Care Orchestration Identify high risk members and coordinate their care to ensure the right services are provided at the right time in the right location. CUSTOMER PROFILE • Large healthcare payer operating in multiple states • Over $10 billion in revenue, 10 million members and 15,000 employees CHALLENGE Difficulty coordinating outreach to high risk members and directing them to appropriate resources in a timely manner: • Manual processes and SQL analysis required to determine which members were most at-risk; macros to create flat files to send members to each respective outreach channel. • Processes lacked transparency and accountability; difficult to answer basic questions about outreach activity, such as: – Why did we reach out to this pers

Join for free to read