Engagement Solutions: SMART Connect

Automated Member Outreach Based on Data-Driven Information

Did you know 5 percent of the population is responsible for nearly half of all health care costs? When members are disengaged in their healthcare, outcomes worsen and costs increase. What’s more, health plans struggling with disease management and member engagement suffer in quality and performance scores.

Altegra Health’s SMART Connect solution is highly scalable, easy to implement and delivers:

  • Increased care compliance
  • Reduced cost of care
  • Better health outcomes
  • Improved risk scores
  • Higher HEDIS* and Star ratings
  • Enhanced member satisfaction

SMART Results: A SMART Connect Case Study

Find out how SMART Connect helped a Medicaid health plan improve the quality of care for pregnant members and increase caseloads per care manager.

Health plan results:

3X: Amount of additional caseloads care managers were able to handle with SMART Connect

11%: Members who generated one or more alerts monthly – indicating a care need that may have otherwise gone unaddressed

13%: Increase in client’s timeliness-of-prenatal-care metric reflecting improved engagement of pregnant mothers with their prenatal care

Download this Case Study

How Does SMART Connect Work?

Our powerful data analytics engine identifies members’ needs and prioritizes outreach to help with those needs. Whether it’s disease education or wellness reminders, this proactive, year-round approach produces positive health results and cost savings.

Find Out More

For more information on SMART Connect, call 1-877-422-1663 or download a PDF overview document below.

Document Download

SMART Connect Outreach Types

Ongoing Programs

Ongoing programs reach members with care management needs efficiently and frequently with ongoing personalized and engaging communications. Customize message content and frequency based on members’ risk levels, conditions and question responses.

  • Asthma
  • CAD
  • CHF
  • COPF
  • Diabetes
  • Emergency Room (frequent user)
  • Hospital Discharge
  • Hypertension
  • Maternal Health

One-Time Campaigns

The value of outreach shouldn’t be limited to those members with ongoing or chronic care needs. Based on other population segments and your goals, you can select campaigns to engage through screenings, surveys, reminders and awareness messages.

  • Adult BMI assessment
  • Annual check-up reminder
  • Antidepressant medication management
  • Beta-blocker treatment (post heart attack)
  • Cervical cancer screening
  • Cholesterol screening reminder
  • Controlling blood pressure
  • Dental care reminder
  • Diabetes care reminder
  • Eye exam
  • Glaucoma testing
  • HOS/CAHPS messaging
  • Kidney disease monitoring and testing
  • Lead test screening
  • Mammogram reminder
  • Member recertification
  • PCP assignment and selection
  • Regulatory compliance
  • Well child (EPSDT)

The Power of Customized Communication

Message Development: Whatever your needs, we’ll work with you to develop communications that resonate with your members. Choose from our extensive message library – many of which address a wide range of quality rating measures. Don’t see the messaging you need? Our skilled writing team will partner with you to develop a custom solution.

Communication Channels: In addition to targeted messaging, offering members their choice of communication channels directly impacts engagement and interaction. Members can receive messaging via automated calls, SMS/text messaging, email and/or smartphone app.

Additional Options: Customization doesn’t stop with scripting and delivery. We also offer you the option to determine communication frequency based on member risk, and customize outreach according to gaps in care.

The Value of Automation and Information

Automated Outreach: Live resources are costly and inefficient. Automated outreach solves these issues while providing a consistent, interactive member experience.

File Format Flexibility: Our sophisticated data-ingestion process can intake single or multiple files to deploy various campaigns and outreach.

Member Dashboard: Members can view or send messages to care managers, change communication channel preferences (as well as day and time), update contact information, and more.

Care Manager Dashboard: Members in need of an immediate response can create an alert. This automatically appears in our care manager dashboard, allowing care managers to address issues as soon as they arise.

Impactful Reporting: In-depth reporting provides valuable insight and actionable data, delivered at the frequency you prefer. Real-time reports via the care manager dashboard allow you to view alerts and track follow-up. On-demand reporting is available at the line of business and/or member level.

Integration Value: Maximize in-house data and analytics by integrating SMART Connect with other services – further improving health outcomes, quality scores and cost reduction.

*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).