Chronic conditions background image of a woman holding her diabetes monitor.

Care Navigation: Chronic Conditions

Proactive Member Engagement for Chronic Care Management

Guide members experiencing chronic conditions to healthier behaviors and offer tailored support to drive better health outcomes and cost savings.

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Solution overview
Overview
UshurX for Medicaid Quality Engagement and Activation
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Complex Healthcare Survey Support SDOH
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Reducing Cost by Automating Prior Authorization Communication
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Medicaid Redetermination One Pager
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Healthcare Journey & Micro-Engagements™: Payers
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Clinical Trial Support
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Advancing Medicaid Health Equity and Quality

AI-Powered Automation for Chronic Conditions

Improve Member Engagement and Streamline Processes at Scale

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Educate
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Outreach
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Coordinate
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Manage
Proactively guide members and deliver resources throughout critical care journey touchpoints.
Collect feedback and check-in regularly to assess progress for personalized care plans.
Assist members with scheduling specialists and sourcing resources outside of their plan.
Automatically process documents and upload data to core systems without any rip and replace.

Members with chronic conditions can also be some of the costliest. Trying to navigate a confusing and complex healthcare system can make it challenging for members to find care. Deliver personalized, targeted experiences that can better coordinate and educate members on their conditions for better care that costs less.

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Benefits Literacy & Concierge Services

Members receive proactive outreach, explaining benefits and services.

Digital HNA

Members receive proactive outreach to complete health needs assessment (HNA) for health goals and concerns.

Care Guidance

Members receive proactive outreach on MSK concerns based on HNA completion.

Care Advocacy

Members guided to MSK services as part of benefits to help with MSK diagnosis and treatment.

Care Survey

Members receive proactive outreach after 10, 15, or 20 days for feedback related to MSK services & care.

Care Management

Members receive proactive outreach from Care Manager to engage via live chat.

Provider Lookup & Schedule

Members receive proactive outreach to schedule appointment with specialists from Care Manager

Virtual Provider Visit

Members receive reminders for appointments and links to access virtual visits with their provider.

Digital HNA

Members receive proactive outreach to update health need goals and concerns.

NPS

Members receive proactive outreach to provide feedback on overall experiences and care provided.

Elevate Member Experiences in Weeks

Differentiate your Chronic and Acute conditions and give tailored care information to your members for increased effectiveness, allowing for a greater number of preventative care measures to be taken. Designed by business users and deployed with a single click without the need for a traditional mobile app.

Chronic Conditions use case delivered on Invisible App.
Customized branding for recognition and trust
A HIPAA-secure rich user experience designed to be intuitive and engaging
Minimal IT and no professional services needed
With integrated analytics to evaluate campaign effectiveness
Customized for each member and reachable 24/7

Security & Compliance

We know PII and security are a top concern. The Ushur CXA platform is HIPAA-secure, TCPA compliant and is HITRUST and SOC2 certified. Rest assured your working in a highly secured platform.

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How Digital Care Navigation Improves Chronic Health Outcomes
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Ushur for Chronic Condtions

Deliver more affordable care through better member outreach

The Ushur CXA AI-powered Platform enables healthcare payers and providers to realize decreased costs in care and increased member and patient quality of care. See how we support both.

40%
NPS score improvement
85%
CSAT score improvement
3
weeks to deploy
42%
outbound calls eliminated
pauseMembersHealth Payers

Members

Members with chronic or acute health conditions management benefit from Ushur's CXA platform through timely appointment reminders, personalized health education, secure communication, real-time support, and proactive health monitoring. These features empower members with the tools and information they need to traverse a complex healthcare system and get the care they need.

“Managing my elderly father's congestive heart failure used to require constant vigilance and coordination between multiple specialists. Ushur has been a game-changer. It streamlines communication, provides helpful reminders and education, and flags issues before they become emergencies. The peace of mind is invaluable.”

Health Payers

Enable payers to deliver personalized, proactive support to members with costly chronic conditions. By leveraging intelligent automation and omni-channel engagement, Ushur helps payers improve care coordination, reduce avoidable utilization, and drive better health outcomes while lowering costs and enhancing member satisfaction.

“Ushur's AI-powered care navigation platform has been instrumental in identifying and engaging these individuals with personalized outreach and support. By proactively connecting patients to needed services and addressing barriers to care, we've seen a significant reduction in ER visits and admissions.”