One Platform, Many Solutions

Clients that partner with MyHealthDIRECT benefit from a technology that enables them to do things never even thought of before. Depending on their goals, clients have found that our platform delivers real-time cost containment savings and increased revenue opportunities through a broad spectrum of “solution sets.”

Solutions Sets

Disease and Medical Management- Ensure members with chronic conditions obtain
appointments for timely care and necessary check-ups to improve quality ratings for
HEDIS and Star

Preventive Services and EPSDT – Improve the completion rate of physicals, tests and
screenings by scheduling appointments for targeted members to improve quality ratings
for HEDIS and Star

In-bound /Out-bound Call Center – Remove barriers to care by allowing your call center
to schedule on a member’s behalf

Inpatient Discharge Follow-Up – Reduce readmissions by ensuring that members have
follow-up appointments in place following inpatient discharge

Primary Care Medical Home – Enhance your medical home initiatives through
scheduling connectivity

Direct-to-Consumer (D2C) – Differentiate your organization by allowing members to
directly schedule appointments with providers in network

Lab/Imaging – Increase referral capture by scheduling lab and imaging tests

PCP-to-Specialty Care – Enable primary care providers to schedule appointments with
specialists on behalf of members

Nurse Triage Line – Reduce inappropriate emergency department visits by allowing
triage nurses to schedule appointments for callers deemed to be non-emergent.

Non-Emergency Medical Transportation – Reduce the time and cost associated with
scheduling transportation on behalf of members

ED Redirection / ED Discharge – Reduce frequent and inappropriate visits to the
emergency department by scheduling appointments at the right level of care.

TeleHealth – Coordinate the complex scheduling needs of telehealth through a single
point of scheduling connectivity

Accountable Care Organization – Achieve quality measures required to realize shared
savings through Accountable Care Organizations.

Internal Scheduling of In-House Clinicians – Increase referral capture and reduce
system leakage by scheduling appointments for patients before they leave the hospital.

Quality (HEDIS; STAR; Value Based Purchasing) – Innovate by adding scheduling
connectivity to your health plan, IPA, health system, or ACO. Instant access to provider
calendars to schedule visits to satisfy performance requirements means fewer
sanctions, easier reached incentives, and healthier members.

Operational Efficiency – Lower operating costs by reducing time it takes to schedule a
call. For example, reduce time from 20 minutes to 5 minutes, and remove need for 3
way call involving physician office; also enables scheduling past 5pm and on weekends.

Specialty Care – Examples include Behavioral Health; High-Risk OB; Dental

9-1-1 (Houston) / 2-1-1 (Nashville) – Community based call centers for urgent care (9-1-
1) and community based care (2-1-1) use MyHealthDIRECT to schedule appointments.