Payers: Lower Risk, Capture ROI & Underwriting Gain

Payers have a unique set of needs and challenge -  financially responsible for patients and intermediated by providers whose interests may not align with the payers.

In a sense, Payers are flying in the dark - unable to effectively interact with the at-risk and cost-bearing patients, nor able to incentivize providers sufficiently to effect meaningful changes to economic and patient health outcomes.

We created HealthLink-360™ specifically to address interest and economic challenges payers and providers face in supporting populations with costly chronic conditions including Diabetes, Hypertension, Heart Failure, Obesity, and others in their beneficiary pool. 

HealthLink-360™ a value-based-care inspired model that supports providers, patient outcome optimization, patient engagement and payer financial interests including underwriting loss, underwriting gain, risk mitigation, and ROI.

HealthLink's 360 offering was designed to target the top 15-20% of a payer's high-risk, high-use, high-cost populations.  We bring together a model where patients can easily and simply generate and transmit biometric readings that lend insight to their health and need for provider engagement or intervention.   Unlike traditional models, there are no apps, no tablets, nothing to recharge, no WiFi.  Patients use a wall-powered, palm-size connected hub that collects readings for Blood Pressure, Glucose, Weight, SPO2, etc and securely uploads the readings to a HIPAA cloud for analysis and alerting.

In the 360 model a care coordinator is teamed up with 3rd party RN-led review teams and QHCPs who review patient's results on a proactive basis and chart and communicate findings back to payer's teams and respective providers.   

Targeted response can facilitate ROI of 45%-80% in Y1, and above 101% in Y2+, and cash-on-cash savings that can reach above 20% inclusive of all costs, which include anticipated E/M compensation for patient's providers.  

Summarized, HealthLink-360™ is plan-of-care driven, patient-centric, provider-friendly, and payer-focused in model that is non-invasive, non-disruptive and incorporates the patients, their PCP, specialists, your care coordination team, and third-party RN-led, QHCP reviewed patient oversight.  

A facilitator to proactive Insight and opportunity for timely, cost effective intervention - HealthLink-360™ saves you money, supports risk mitigation, and gain on underwriting opportunity.

HealthLink-360™ was developed to meet the needs of payers underwriting Medicare, Medicare Advantage, Medicaid (MCOs), and organizations participating or interested in Medicare Shared Savings Plan (MSSPs) delivering effortless insight, the opportunity to benefit their patients and their practices, and meaningful economics for payers.

Call, Click or E-mail for more information and a no obligation benefit estimation for your practice or payer organization.