Healthcare navigation partner enhances the member experience for Houston Methodist employees
Challenge

Creating a more personalized healthcare journey

Houston Methodist Hospital System is well-known for attracting, retaining and rewarding top talent, with a Magnet designation and multiple appearances on Fortune Magazine’s list of 100 Best Places to Work in America. Wanting to improve clinical and financial outcomes while providing a first-class benefits experience for employees, they searched for a healthcare navigation partner to help.

Solution

Initiating change with the help of a healthcare navigation partner

Quantum Health helped by implementing our industry-leading healthcare navigation solution, featuring unmatched clinical expertise. Our team supports every member, offering benefits guidance to ensure they get the best — and most cost-effective — care possible.

Enhanced behavioral health services

Personal Care Guide nurses conducted depression assessments, providing insights for referrals to Houston Methodist’s in-house behavioral health clinic and point solutions.

Increased health awareness

Quantum Health helped educate members on the importance of healthy lifestyle choices and regular preventive screenings, improving clinical outcomes and reducing unnecessary claims costs.

Reduced HR burden

As the single point of contact, Quantum Health answered member benefits questions, managed third-party vendors and led high-risk members through their healthcare journeys. This enabled Houston Methodist’s HR team to focus on other strategic priorities.

Results

Enhancing valuable outcomes with healthcare navigation services

80%

of members use in-network providers, increasing domestic utilization

9%

utilization in employee assistance program, 3-5 times higher than industry average

~$15M

in avoided cost due to Real-Time Intercept® in the 2022 fiscal year

78

Net Promoter Score® for members

“We’re such a values-driven organization. Quantum Health not only aligned with our strategic plan, they also aligned with our values.”

Janay Andrade
Director of Benefits at Houston Methodist

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