Care Plan Automation

The CareLoop platform is a web and mobile application, compatible with both IOS and Android. CareLoop uses Amazon Web Services (AWS) where information is securely stored in a virtual private cloud. CareLoop uses only HIPAA compliant AWS services. CareLoop leverages modern interoperability standards including SMART on FHIR and webhooks to be able to query a LTC or health system’s EHR for clinical data, customized in alignment with the organization’s needs. Relevant data models include patient demographics, care-team, location/organization, laboratory data, problems, medications, care plan/goal, appointments, and scheduling. CareLoop is integrated into Redox, a healthcare data exchange service, used by 750+ health systems, and part of the HL7 FHIR Argonaut Project. The Redox network aggregates integrations for fast, secure and consistent connections between a variety of digital health solutions and health care providers. Redox leverages a standardized JSON & FHIR data models to read, write and query healthcare data with any partner, supporting bidirectional communication. Where FHIR resources may be limited, through Redox, CareLoop has access to a number of HL7 data models and web services.

Conduct multi-channel outreach campaigns to engage members in self-managing health risks and conditions, closing care gaps, improving Star ratings, and reducing total cost of care. - Close Care Gaps: Identify and engage non-compliant members, create targeted and personalized outreach through omnichannel engagement. Pair health actions with an incentive to provide a seamless reward experience. - Medication Adherence Reminders: Trigger digital health action urging the member to refill prescriptions, contact provider, and a self-report barrier to refill medication. - Healthwise Education: Supply easy-to-undersand health education material customizable to a member's health status, conditions, and interests. There are over 11,000 materials available on a wide variety of topics. - Monitor Performance: Provide a feedback loop to the health plan showing the effectiveness of each outreach by member, campaign, health action, and communication modality. - Medicaid Therapy Management: Provide a feedback loop to the health plan showing the effectiveness of each outreach by member, campaign, health action, and communication modality. - Engagement Automation: Leverage automated engagement playbooks connecting with the right members at the right time. - Scheduling Capabilities: Utilize scheduling capabilities for medication reviews and care transitions. - Omnichannel Communications & Tracking: Digital outreach, including email, SMS, in-app and push notifications, and integration to utilize physical mailers and outbound phone calls. Communication preferences and sequencing use the outreach channel for optimum outreach success. Digital and phone communications track back to individual member engagement. - Comprehensive Incentives: Incentives are available for all modules. Options include digital and physical gift cards to national and local retailers, merchandise and reward boxes distributed timely to members.

Keep a pulse on member satisfaction through digital surveys (e.g., mock CAHPS, HOS, NPS©) and a continuous feedback loop with real-time results. - Mock CAHPS: Digitally administer survey post blackout period to identify common areas of satisfaction. Develop data-driven campaigns based upon survey responses to engage members and improve the member experience. - Net Promoter Score: Provide a quick, real-time one-question survey that can be added to any of the HealthMine modules to gain feedback on any program area. - Health Perception Survey: Digitally surface surveys to cohorts of members to collect self-reported information about their health. Outreach to members providing tailored resources and education to improve health outcomes. - Proactive Digital Outreach: Survey results are available on our dashboards in real-time. Clients can conduct outreach to groups of members with low composite scores or individuals with a specific issue that needs resolution.

Maximize HRA compliance and uncover risk in your population through self-attestation via quick and efficient NCQA-certified digital HRAs. - Digital HRA: Utilize HealthMine’s NCQA certified HRA to engage members and, if applicable, offer incentives and rewards. - HRA Scoring Description: Members receive a risk summary for each health area and if all questions are presented an overall risk level: low, moderate, or high. Each health area has specific scoring criteria to provide risk assessment. - Population HRA Metrics: Monitor at the population level the rates of risk levels (high, medium, low) and completion rates by cohort (started, complete, incomplete). - Telephonic and Paper HRAs: If a member is unable or unwilling to complete digitally, HealthMine offers the additional modalities of telephonic and mailed HRAs within required timeframes.

Comprehensive Incentives: Incentives are available for all modules. Options include digital and physical gift cards to national and local retailers, merchandise and reward boxes distributed timely to members.