Case Study
Health Plan

Midwest Health Plan & System identified Social Determinants of HEalth (SDOH) for 350,000 Medicaid, Medicare, and Commercial members

Case Study
Health Plan

Midwest Health Plan & System identified Social Determinants of HEalth (SDOH) for 350,000 Medicaid, Medicare, and Commercial members

About The Health Plan

    • 350,000 adult and pediatric lives
    • Medicaid, Medicare, and commercial plans
    • Client since 2006
  • Challenge

    This plan and their health system parent company were seeking a vendor that could deliver an all-in-one solution for certified health assessments to plan members, while also supporting their internal and employer-based wellness programs.

    Solution

    PDHI’s white-labeled platform allows the plan to deliver tailored health assessments and support services to its members by line of business. This leading data gathered from the assessment is exported to their BI tools and analytics.

    From the same platform, the health system customizes their wellness programs using the ConXus Action Plans, Challenges, and Events with health coaching. Incentives with gift card redemption are used to drive program engagement, with management reports delivered to their team daily.

    Results

  • 1. Minimize the use of vendors, optimizing efficiency by deploying diverse health and wellness solutions from one platform.
  • 2. The care management team receives additional data points, helping identify social determinants of health (SDOH) and gaps in care.