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HEALTH
ADVOCACY
SOLUTIONS
CASE STUDY

A National Food Service Company

A national food service company with approximately 50K members was looking for new cost-neutral options to enhance their health benefit plan and better manage their employees’ care. They have an older male employee population that works in a taxing blue-collar industry (warehouse workers and truck drivers).

With health care costs and total health spend growing year over year, the company knew current utilization and case management programs were not managing enough of their population. Since these employees had not been accessing regular care, it was important to remove any barriers to care. They also needed help navigating the complex health care environment to get the appropriate level of care and assistance for their specific health situation.

In 2019, the food service company purchased Health Advocacy Solutions to better manage their population and it worked.

Health Advocacy Solutions Results

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20.6%
reduction in potentially
avoidable ER visits/1000

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Specialty Review Unit
PMPM spend down

46.7%

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Clinical Management

Managing 14.5% of members who contribute to 68.3% of total health care spend

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Interaction and Engagement

For households with greater than $50K in claims we ensured:

100% interaction1

96% engagement2

99.7% provider engagement3

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1. Household Interaction: Include voicemail, email, letter, direct mail or text.

2. Household Engagement: 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.

3. Provider Engagement: Includes all meaningful interactions with providers on behalf of the member. All bi-directional activities. Providing Information to providers telephonically and digitally regarding the member.