Navigating a complex healthcare model
In 2021, Valpak’s shift to an alternative healthcare model led to increased member confusion and frustration with sub-optimal clinical outcomes. Valpak was determined to find a better match for their employees — one that would streamline their benefits strategy, enhance their members’ experience and generate significant cost savings.
Quantum Health’s unique healthcare navigation platform with Real-Time Intercept® (RTI) capability proved to be a perfect fit.
Early intervention and comprehensive health advocacy
We connected with members dealing with severe health conditions at the earliest point in their healthcare journeys through our proprietary RTI capability and the guidance of our Healthcare Warriors®.
This early intervention ensured timely care by obtaining pre-authorizations, directing members to in-network providers, and delivering ongoing support throughout their care journey.
Our in-house clinical team also managed site-of-care costs by guiding members to at-home medication administration when clinically appropriate.
Improved member experience and reduced healthcare costs
By providing expert healthcare navigation and a single point of contact for Valpak members and providers, we simplified the benefits experience, reducing confusion, frustration and the administrative burden on HR.
Valpak members highly valued the convenience of at-home medication administration, leading to improved outcomes and reduced healthcare costs.
in avoided costs
engagement with members and providers as claims costs are incurred
return on investment
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