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HEALTH
ADVOCACY
SOLUTIONS
CASE STUDY

A National Construction Company

The Challenges
A large national construction company wanted to switch to a new insurer from Cigna due to dissatisfaction with both their member and account management service. This employer was seeking a more personal experience for their employees, better account service and improved coordination with their vendor ecosystem.

This employer’s workforce was dealing with serious health issues like cancer, cardiac and musculoskeletal diagnoses. This mostly male employee group was impacted by a number of factors including age, education level and access/ability to use technology. They were needing more personal, one-on-one human engagement and health care navigation.

For these reasons, they selected us as their new insurer and signed on to Health Advocacy Solutions, to go live on January 2023. Health Advocacy Solutions offers a concierge approach to connect with this difficult-to-reach, less healthy population. This one-on-one, concierge-level personal engagement has proven to be very helpful for this group.

$4.5M

TOTAL HARD
DOLLAR SAVINGS

CLOSE OF 2023

The Savings
By the close of 2023, this employer realized hard dollar savings of $4.5M, equaling $54 PEPM. This was nearly $6 above benchmark savings of $48 PEPM.

More than 50% of this savings ($2.28M) resulted from the 63% of targeted members who were clinically managed by the Health Advocacy Solutions team.

The Results
Soon after this group went live with our services, they expressed how pleased they were with us and the implementation process. Employees were pleased as well and expressed this through compliments and success stories relayed to management. Many factors contributed to this positive experience and the resulting cost savings including:

Successfully Obtaining Complete Contact Info from the Majority of Employees
We received complete contact information (consisting of one email and one phone number) for 84% of households. This has a big impact on our Health Advocates’ ability to reach out to members in advance of services.

Deployment of a Robust Employee and Member Communication Plan
Multi-channel communications inform members on how Health Advocates can help, available services and benefits, unclosed gaps in preventive and chronic disease care and more.

High Level of Engagement

Excellent Customer Satisfaction

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Data Sources

The reporting period represents claims from January 1, 2023 through December 31, 2023 and paid through February 29, 2024.

Activity based metrics represent engagement from January 1, 2023 through December 31, 2023. Benchmark data is based on the 2023 Health Advocacy Solutions book of business.

Key Definitions

Household Engagement: The interactions represented in this report are restricted to meaningful bi-directional activities with or by the member. Examples include connected calls, web engagements and cost searches, fitness program utilization and strategic business partner utilization. Email and print communications are excluded.

Clinically Managed: This is a category intended to capture management activities that are tied to a members’ clinical needs and are provided via self-service tools and resources or by a clinical/professional staff. This includes members who have engaged in clinical program participation, received clinical program participation education and resources or had a UM authorization clinically reviewed. Anything automatically/systematically reviewed is excluded (i.e. maternity requests).

Clinical Program Participation: Represents the targeted case management programs and clinical services that are administered via coaching mechanisms. This includes everyone identified for outreach and all coaching provided via our wellness and digital health partners. Any digital self -service management is excluded.