HCC Recapture Chaselists Reduced by a Third 

Challenge: Blue Zones Health – a lifestyle medicine delivery model built on the value of generating more good years for patients, providers, and payers – sought to engage ~100 members with outstanding HCC Recapture gaps. Their existing strategy of cold calling members and sending bulk texts was too time consuming and expensive to scale.

Solution: By leveraging the Threshold Health platform, Blue Zones Health rapidly deployed the HCC recapture engagement template campaign to enhance their outreach efforts. The week-long campaign features accessible digital outreach with a personalized message through a secure and white-labeled mobile website that connects members to their preferred care coordination pathway, including speaking to care coordinators from Blue Zones Health. For members who did not schedule an appointment during our week-long digital outreach, care coordinators from Blue Zones Health prioritized follow-up calls based on member engagement levels and preferred callback times. 

Results: The impact was immediate and positive:

• Over 65% of members opened and viewed the secure message, indicating high trust and accessibility of digital outreach.
• More than 30% responded to the call to action, with most members directly calling Blue Zones Health clinics to schedule an appointment.
• Members who viewed the message but did not respond initially were three times more likely to schedule an appointment by the end of the campaign.
• The telephone outreach chaselist was reduced by a third before any outbound calls were made.
  

Key Takeaways: By leveraging the Threshold Health platform, Blue Zones Health achieved higher member engagement, resulting in improved condition management and more accurate Risk Adjustment Factor (RAF) capture. 

Ready to learn more? Reach out today to learn more about how the Threshold Health platform can level-up your organization’s patient engagement goals.

About Threshold Health

Threshold Health is a self-serve care engagement platform designed for healthcare organizations to rapidly level-up their  care gap closure campaigns. With preloaded templates, smart worklists, automation and seamless integration into existing care pathways, the Threshold Health platform empowers operators to achieve quality and engagement goals cheaper, better and faster while improving member experience and access to care. Deploy Threshold Health before year’s end! Learn more at https://threshold.health

About Blue Zones™ Health

Blue Zones Health, formerly Healthly, is a primary care delivery model that focuses on treating the underlying causes of chronic disease and helping reduce dependence on medications and surgery. We offer care virtually nationwide and in-person at a growing number of clinic locations. Our approach to healthcare combines insights from 25+ years of Blue Zones' identification and research into the longest-lived peoples and application of that research to improve well-being at the population level, with the American College of Lifestyle Medicine's evidence-based physician training and certifications. In a peer reviewed study, we demonstrated our model's ability to meet the IHI Triple Aim of better patient outcomes, for lower cost, with greater patient satisfaction. Because our innovative model reduces the need for high-cost invasive care, we redeploy dollars into proactive prevention and disease reversal programs which allows us to offer our services at no or low additional cost for patients with participating insurances and Medicare. Our employed and affiliated physicians provide patients with personalized care pathways based on the Blue Zones Power 9® principles, including support groups, classes, and access to experts such as dieticians and coaches. To find out more about how we empower patients, physicians, providers, and people to Live Better, Longer™, visit www.bluezoneshealth.org