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Health Plans & Payers.
Gain a competitive edge, reduce costs, and improve outcomes.
CHESS Health’s innovative and cost-effective digital solutions enable health plans to achieve care management goals to significantly improve health outcomes for individuals facing substance use disorders. By effectively reducing the cost of care and helping achieve critical quality measures, our solutions ensure better patient outcomes and foster the competitive differentiation needed to secure valuable contracts in a crowded marketplace.
Medicaid MCOs
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Addressing substance use disorders (SUD) is a top priority for Medicaid Managed Care Organizations due to its direct impact on care costs, readmissions, and quality measures. Additionally, state governments prioritize effective solutions for this critical issue.
Commercial Plans
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Improving treatment outcomes for SUD among members is vital for commercial plans to mitigate costly readmissions and enhance access to care. Focused interventions can lead to significant savings and better overall health for enrollees.
ACOs
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For Accountable Care Organizations (ACOs), tackling SUD among members, particularly alcohol use among seniors, is essential for enhancing population health and reducing readmissions. Effective management of these conditions directly contributes to improved outcomes
EAPs
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Alcohol and substance use among employees and their dependents is a major contributor to workplace productivity, injuries, and employee retention. Employee Assistance Programs (EAP) seeking to provide comprehensive support services to address these issues.
Positively Impact Performance Metrics
Enhancing care delivery and member engagement is vital for health plans aiming to thrive in today’s healthcare landscape.
Proven Impact
One of the nation’s largest health plan companies, along with its behavioral health management subsidiary, has been using the CHESS platform since 2021.
Initially, the company’s Medicaid MCO plans provided CHESS’s Connections App to their members with SUD in order to reduce high readmission rates – within two years the first plan measured a cost of care savings in excess of $200 pmpm.
The company also designed a national care management program to reduce neonatal abstinence syndrome (NAS) and use of NICU beds in which the Connections App was the key intervention. Within a year, this program generated $2M in savings.
Lastly, the company has found that Including CHESS’s eRecovery solution, including the Connections App, in their MCO bids and re-bids contributed to RFP wins in new markets and more retained contracts.
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Improving Maternal Health
Read how a national health plan is leveraging digital tools with peer support to enhance maternal health.