Care Navigation: Chronic Conditions
Proactive Member Engagement for Chronic Care Management
(trillion)
Estimated cost of healthcare spending for health inequities in 2040.
possible savings per patient through better care coordination for members with chronic diseases.
Where does the current process fall short?
Payers face significant challenges in managing chronic conditions within the current healthcare landscape, primarily due to the system's reactive nature. These challenges include:
- High Costs and Resource Allocation: Chronic conditions account for a substantial portion of healthcare spending, with 90% of the nation's $4.1 trillion annual healthcare expenditures directed towards chronic and mental health conditions.
- Lack of Preventive Measures: The traditional healthcare model focuses on treating symptoms after they appear rather than preventing them, resulting in missed opportunities for early intervention.
- Poor Care Coordination: Effective management of chronic conditions requires seamless coordination among various healthcare providers, but the current system often suffers from poor communication and fragmented care.
- Poor Care Coordination: Effective management of chronic conditions requires seamless coordination among various healthcare providers, but the current system often suffers from poor communication and fragmented care.
By addressing these shortcomings through a proactive approach, payers can improve member health outcomes, reduce unnecessary healthcare expenditures, and enhance the overall efficiency of the healthcare system.
AI-Powered Automation for Chronic Conditions
Improve Member Engagement and Streamline Processes at Scale
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.
Educate
Proactively guide members and deliver resources throughout critical care journey touchpoints.
Outreach
Collect feedback and check-in regularly to assess progress for personalized care plans.
Coordinate
Assist members with scheduling specialists and sourcing resources outside of their plan.
Manage
Automatically process documents and upload data to core systems without any rip and replace.
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 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.
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.
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.
Blog
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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.
NPS score improvement
CSAT score improvement
weeks to deploy
outbound calls eliminated
eGuide
Guide to More Effective Healthcare Population Health and Wellness Communications
How to Guide Members to Take Better Health and Wellness Actions with Advanced Digital Communications
Payers have a chance to drive better health outcomes thanks to recent advances in automation technologies like process automation and artificial intelligence. Quality of care is just one piece of the puzzle - how plans engage/interact with their members is a central tenet to quality outcomes.
AI from Ushur for the most at Risk
Personalized communication for individualized care coordination
Ushur Experience OS (XOS) platform enables healthcare organizations to deliver personalized care navigation experiences for those with the most expensive conditions. Deliver education and coordination for healthcare navigation without the noise.
Chronic Conditions
Educate members and deliver better assessments for cheaper proactive care.
An operating system for better care navigation for the most expensive conditions
A new and bold way to think about care navigation for the most expensive conditions. The Ushur ExperienceOS enables enterprises to deploy skilled AI Agents en masse to scale the human-like touch that customers demand. Design agents with the skills they need to support end-to-end experiences for members with acute and chronic conditions in getting better care.
