Payers

Proactive care for the members who need it most.

Healthrite helps health plans reach members living with chronic conditions, keep them engaged month after month, and support them between visits — with care tailored to each member by AI and delivered by our team.

How it benefits you

Better member health, measured and reported.

Engage hard-to-reach members

Our care team reaches out personally, explains the program, and keeps members engaged with a consistent point of contact.

Act before problems escalate

AI watches monitoring data and check-ins for early warning signs, so the care team can step in before a trip to the emergency room.

Support quality goals

Regular follow-up on blood pressure, diabetes, medications and behavioral health supports progress on the quality measures that matter to your plan.

Care tailored to every member

AI shapes each member’s care plan around their conditions and needs, instead of a one-size-fits-all script.

Clear reporting

Transparent reporting on enrollment, engagement and outcomes, so you can see the value of the care delivered.

Coordinated with physicians

We keep members’ physicians informed and involved, strengthening the relationship between members and their care.

From challenge to solution.

The challenge

Members with chronic conditions account for a large share of avoidable costs.

How Healthrite helps

Consistent monthly care and monitoring help identify issues early and keep members on track with their plans.

The challenge

Many members are difficult to reach and engage.

How Healthrite helps

A dedicated care manager builds a relationship with each member through personal, ongoing outreach.

The challenge

Behavioral health needs often go unaddressed in medical care.

How Healthrite helps

Behavioral Health Integration and Collaborative Care bring mental health support into everyday care.

The challenge

It is hard to see what care management programs are achieving.

How Healthrite helps

Clear, regular reporting shows engagement and outcomes across the population.

How we work together

A clear path from first call to ongoing care.

  1. 01

    Define goals

    We agree on the member population, programs and outcomes that matter to your plan.

  2. 02

    Identify members

    We identify members who qualify and are most likely to benefit.

  3. 03

    Engage and enroll

    Our team reaches out, explains the program and enrolls members who consent.

  4. 04

    Deliver care

    AI-guided care plans, monthly check-ins, monitoring and behavioral health support.

  5. 05

    Report and improve

    Regular reporting on engagement and outcomes, and adjustments as we learn.

Programs available for your members.

Every program is guided by AI and delivered by our care team.

Chronic Care Management

Monthly care-plan management for patients with two or more chronic conditions.

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Remote Patient Monitoring

Connected devices with readings reviewed by clinicians, with escalation when needed.

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Behavioral Health Integration

Screening and ongoing behavioral health support, integrated with primary care.

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Collaborative Care

A care manager and consulting psychiatrist on a shared, measurement-based caseload.

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Questions

What payers ask us.

Which members are a good fit for these programs?

Members living with chronic conditions — such as diabetes, hypertension, heart failure or COPD — and members with behavioral health needs benefit most from ongoing care management and monitoring.

Do you work with members’ existing physicians?

Yes. Care is coordinated with each member’s physician, who stays informed and involved throughout.

How do you report results?

We agree on the measures that matter to your plan at the start, and provide regular reporting on enrollment, engagement and outcomes.

How is member data protected?

Member information is handled according to HIPAA requirements, with access limited to the team members who need it to provide care.

Let’s talk about your members.

We’ll discuss your population, your goals and how Healthrite can help.

Book a call