Personal Health Assistance - DM programs reinvented.
Combining predictive analytics and digital marketing, we connect members with the right resources and proactively outreach based on data. No cold calls here!
Centralize your benefits
for easy access online.
Alleviate unnecessary and timely inquiries abut benefits for employees and their families by hosting it on a dedicated website, such as health insurance, wellness programs and even vendor resources.
The New Approach to Disease Management
First, you can't call it a DM program to employees. Second, we have to stop "managing" the disease and attempt to prevent it or reverse it.
We take three phase approach impacting healthcare costs and improving health outcomes for all plan members and employees.
Phase 1: ANALYTICS CONSULTING OVERVIEW
Kadalyst’s health analytics platform provides you with powerful insight into your workforce’s future healthcare spend and current health status. Kadalyst provides you a comprehensive analysis of your health analytics data and conducts a wellness program audit to further assess cost containment strategies and recommendations to establish program goals over the next 12-36 months.
Health Analytics Review
Wellness Program Audit
Assessment & Recommendations
Plan Review With Client
Analytics Consulting: Health Analytics Review
“Gaps in Care” is one of the six core areas of focus we dive into, to determine a more strategic approach to cost saving opportunities. Below is an example of how we might look at your health analytics data and provide recommendations you can adopt.
Provide Disease Management through a vendor to those in the top 3 disease states.
TIP: Pre-inform your team about the outreach so they aren’t caught off guard, and are more likely to complete the call.
Work with your benefits consultant to ensure your health plan provides the necessary coverage to make it easy for members with care gaps to receive care, surgery or medications required
Host workshops or webinars for your employees about the importance of lowering cholesterol, managing diabetes and heart health. Your health plan may also have materials to distribute about the coverage available for these conditions.
Analytics Consulting: Wellness Program Audit
Elevate your wellness program, with a thorough wellness program audit, followed by a comprehensive list of recommendations you can use as a guide for future program planning and budgeting.
Phase 2: IMPLEMENTATION & OUTREACH
Marketing & Education Overview
Our 90-day implementation plan is focused on educating plan members about the new Care Management program; what to expect, who our Clinical Coaches are & what they can discuss, and confidentiality through a comprehensive communication campaign.
Implementation & Outreach: Clinical Coaching Overview
Employee engagement is crucial to gaining traction within any cost containment or health improvement program. That’s why we leverage a variety of data sources and technology to aid our ability to reach the right people at the right time.
IMPORT CENSUS FILE
Demographics, geographics, employment information.(i.e. department, shift time, supervisor, etc.)
REVIEW ANALYTICS DATA Claims, gaps in care, pharmaceuticals, incomplete preventative screenings, predicted in-patient andER visits.
REVIEW BIOMARKERS & HRA Chronic health problem(s), lifestyle, HRA responses, physical and mental health biomarkers.
DEFINE CONTACT lIST Data is uploaded to contact management system and built-in artificial intelligence predicts the most appropriate time to call and reach members.
Clinical health coaches begin proactively reaching out to members, referencing the profiles in the health analytics tool.
We establish mutually agreed upon performance metrics and milestones, that lead to a healthier workforce and lowerout-of-pocket insurance costs. The performance metrics monitored are based on the cohort(s) created within the Springbuk platform and must fall within the acceptable ranges, as agreed upon. Sample performance metrics are provided below.
Phase 3: ABOUT OUR CLINICAL COACHING
Our Clinical Coaches are W-2 employees of Kadalyst. We never outsource or contract with 3rd parties. Employing our own in-house clinicians and health professionals that operate and interact as a “Care Team,” is what leads to our high levels of engagement and employee care support efforts
- Proactive outbound engagement
- 24/7 availability
- Collaboration and review of members
- Consistent outreach (we don’t stop at just 3 phone calls)
- Built in artificial intelligence - suggestive scheduling
- Biomarker & HRA review
- Member interests, concerns, goals
- Chronic condition(s)
- Medication(s) and alternatives
- Care gaps and HEDIS guidelines for PCP referral
- SMART goal setting
- Monthly sessions
- 24/7 availability
- 20-30 minutes each
- NDs, RNs, LPNs, Master-level Nutritionists
- Certified in health coaching
- Motivational Interviewing
- Stages of Change - Transtheoretical Model
- Average 5-years experience