A certain percentage of a health plan's membership - typically between 10 and 15 percent - accounts for between 35 and 50 percent of the costs. We understand what makes this group challenging - they are clinically complex, hard to reach, difficult to motivate, and are often struggling with complicated psychosocial factors that exacerbate medical conditions, which increases inappropriate, avoidable healthcare utilization. We have developed technology, tools and programs over the last ten years to specifically address this population.

We begin with the end in mind - impacting the two utilization categories that truly spike costs - ER visits and inpatient admissions. We know that no matter how straightforward this subset might be to identify, reaching them and having a sustainable impact requires sophisticated systems, specialized staff, and a unique program design. We know too that the impact must be measurable and transparent because improving the clinical and cost metrics with this difficult group means better outcomes across the board.

Several factors enable us to have a disproportionate impact on these members:

• Advanced, predictive modeling, risk stratification algorithms
• Unique biopsychosocial approach, seamlessly addressing medical, behavioral and social issues that affect utilization and health status
• Customized, consumer-oriented engagement strategies designed with the individual at heart, and executed with all the best tools available to sophisticated direct marketers
• Personalized coaching to assess, teach, support and motivate individuals towards healthy change

Members engaged in our targeted-population health management programs become more empowered in their health and life and consequently experience less frequent emergency room visits, fewer and shorter hospitalizations and show better adherence to care plans.

To learn more about how Health Integrated can help your organization, contact us at marketing@healthintegrated.com or 800.323.0286.

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