Reduce Medical Costs
Decrease avoidable ED Visits and Hospitalizations
Inappropriate emergency department visits and avoidable hospitalizations are two of the most problematic cost drivers for health plans today. Member education and provider payment strategies only go so far to address the pain. Innovative health plans that seek to reduce medical costs while improving the member experience are turning to MyHealthDIRECT for solutions.
Reduce Inappropriate ED Visits
Patients often utilize the emergency department for non-emergent conditions when they have do
not have a connection to their assigned primary care provider. Often members are auto-assigned
to their PCP and have never visited them. Other times members lose connection to their PCP over
time. Either way, MyHealthDIRECT is the solution that re-establishes a connection between a
member and their PCP and breaks the cycle of using the emergency department for walk-in care.
Experience using MyHealthDIRECT has shown a 23% reduction in emergency department utilization.
Consider ways health plans can deploy MyHealthDIRECT:
- Enable triage nurses in your 24/7 nurse line to actually schedule appointments for members once their condition has been deemed non-emergent.
- Perform outreach to frequent ED users in order to reconnect them with an assigned primary care provider.
Inpatient Hospital Discharge
Ensuring that members have follow up care in place prior to inpatient discharge is an essential component in reducing unnecessary readmissions. Health plans realize that discharges related to Acute Myocardial Infarction, Heart Failure, and Pneumonia are preventable. But it is no longer enough to simply hand the member discharge instructions and hope that they follow up on their own. In less than five minutes, discharge planners can use MyHealthDIRECT to book a follow up appointment on behalf of a member and decrease the likelihood of a readmission. Experience using MyHealthDIRECT has shown a 25% reduction in hospital inpatient admissions.