CHESS Health’s digital solutions enable health plans to achieve care management goals, improve health outcomes, reduce the cost of care and achieve critical quality measures.

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

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

Commercial Health Plan

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

Accountable Care Organization ACO

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

Employee Assistance Program

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.

  • Improve Health Outcomes
    Enhance access to services and continuous support to refer individuals to care, keep them engaged in treatment, and boost program adherence, resulting in better health outcomes and sustained recovery.
  • Reduce the Cost of Care
    Identify at-risk individuals, provide timely interventions, enhance cross-organizational collaboration, and expand access to continuous recovery support to significantly reduce overall healthcare costs.
  • Promote Health Equity & Access
    Streamline communication and improve cross-organization collaboration through a closed-loop referral process that improves care coordination.
  • Support Varied Populations
    Provider resources that address the unique needs of high-risk groups, including pregnant people, families, justice-involved individuals, BIPOC, LGBTQ, and veterans.
  • Achieve Quality Measures
    Achieve HEDIS quality standards by ensuring timely access to essential support resources that promote effective disease management, enhance care plan adherence, facilitate seamless access to care, and prioritize preventive measures.
  • Increase Member Satisfaction
    Enhance brand loyalty by facilitating improved care coordination and providing always-on digital tools.
  • Secure Contracts
    Elevate your competitive differentiation in mental health and substance use disorder by offering flexible, customizable digital tools that extend access to care, boost patient engagement, and ultimately secure valuable contracts.

Proven Impact

Leveraging Digital Tools to Enhance Women's Health

Improving Maternal Health

Read how a national health plan is leveraging digital tools with peer support to enhance maternal health.

Ready to gain a competitive edge, reduce costs, and improve outcomes?