Support health plan enrollment and outreach with a technology platform
This non-profit managed health plan serves 30,000 members in multi-county geographic area and provides comprehensive coverage through Medicaid and Childhood Health Insurance Plan (CHIP) programs. The organization employs navigators, care managers, and community health workers to assist patients with insurance enrollment, adherence to provider care plans, and health improvement programming.
The managed health plan sought a platform to coordinate marketing campaigns, outreach operations, customer service, and sales processes. The system needed to provide management with reliable, intuitive reports to drive business decisions and integrate into existing workflows within various departments.
Status:Go created a member outreach platform, which included:
- Marketing Management — Tracks details, calendars, and activities for potential and scheduled outreach events
- Outreach Worker Management — Supports field-based outreach worker lead-generation activities, captures prospective member information, and sends prospects information regarding plan services
- Customer Service Operations — Contact center application allows centralized staff to assist outreach workers in finalizing enrollment, confirming member details, providing benefits overview, and facilitating primary care appointments.
- Sales Operations Management — Functionality to associate outreach workers and customer service providers with members for tracking, reporting, and accurate commission calculating
After implementing the platform, member enrollment increased by 9% and empowered leaders with information to evaluate mission compliance and organizational effectiveness. Newly enrolled members with an identified primary care provider increased by 41% and employee sales commission tracking has been fully automated.
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We’ve helped every type of healthcare delivery organization execute on a variety of strategies.
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