Managed Care Organizations and Payers
Healthcare Consumers are Bombarded with Choices
When more than 97% of all health plans offer a multitude of programs, members struggle to manage their plans or take any action at all.
Varolii enables MCOs to reach out proactively to their members and deliver personalized communication to inform, coach, and drive positive behavior. The benefits of reaching out early, often, and in their members preferred way, drives healthy outcomes and bottom line results.
Solutions Specifically Designed for MCOs:
Care Management
- Disease Management Program Engagement - Welcome, Enrollment, Scheduling
- Clinical Monitoring, Data Collection, and Intervention
- Patient Education - Information Therapy and New to Diagnosis/Treatment
- Health Risk Assessments (HRAs) – Introduction, Survey, Triage
- Test Results and Scheduling
- Health Quality HEDIS Reminders
Member Services
- New Members – Welcome, Missing Enrollment Information
- Member Renewal - open enrollment and individual coverage
- Medicare Part D Coverage Determination
- Payment Collection and Processing
- Benefit Update Notification
- Updates on Health Spending and Reimbursement Account
Utilization Management
- Dose Optimization
- Therapeutic Interchange and Generic Conversion
- Coordination of Benefits and Subrogation
- Formulary Updates