Driscoll Health Plan: Personalizing High-Risk Member Care Through Scalable Case Management

Driscoll Healthcare logo

Client

https://driscollhealthplan.com/

Solutions

Care Companion™
GoMo Chat™
Care Communications™

Improving Quality and Compliance Scores

A non-profit, community-based health insurance program in South Texas, Driscoll Health Plan came to GoMo Health with the challenge of improving patient engagement and compliance for children and adolescents.

This personalized member engagement program delivers data-driven, timely access to high quality preventive care services. The program enables the case management team to personalize member experiences more effectively to help them proactively manage their health, identify signs of depression and anxiety, adhere to prescriptions, and utilize local resources.

High-risk health plan members with an asthma, behavioral health and/or prenatal diagnosis

PROGRAM OBJECTIVES: PROGRAM OUTCOMES:
  • Improve health outcomes of targeted memberss
  • Enable the care coordination team to more consistently and cost effectively serve members
 1,200+ escalations sent, allowing care team to intervene in the moment, reducing adverse events within these three populations.

Top reasons for escalations: positive screening on GAD-2, difficulty managing asthma, assistance needed with medication management, discomfort following the care plan, poor overall health

Behavioral Health:

  • 38% screened positive on the GAD-2 assessment
  • 31% screened positive on the PHQ-2 assessment
  • 19% reported not taking their medication as prescribed

Prenatal:

  • 75% of respondents showed signs of depression on the Edinburgh scale
  • Increase member engagement, interaction, and retention
 100k+ high-risk members enrolled with a 95%+ retention rate across all programs
  • Provide a more personalized member experience that increases self management and adherence to treatment protocols at home
 98% found the program messages helpful

1,000+ surveys submitted providing valuable data to the care team, allowing for additional resources and support

Program Components

  • Care Communications:

    Upon enrollment, participants receive text messages to support their health and wellness journey, with some including links to a library of resources (see Care Companion). Messages vary in frequency based on risk level and/or condition. Topics are dependent on therapeutic area and include asthma management/action plans, asthma triggers, exercise, coping skills, stress management, support groups, prenatal care/appointment reminders and depression.

  • Tablet with a heart and information

    Care Companion:

    This cloud-based learning management system (LMS) provides vetted educational content that is personalized by participants’ self-expressed priorities and interests, structured into easy to - follow sections to promote independent education, learning and self-care management.

  • GoMo Chat:

    Much like a typical text conversation, GoMo Chat allows (secure) live messaging between participants and their care team, enabling in the - moment, on demand conversations.

  • chart graphic

    Secure Data Collection and Reporting:

    Engagement and experience data is collected and analyzed and reported back to Driscoll Health Plan and providers for ongoing quality, clinical delivery and service improvement.

Find the right solution for you.

Find how out how our personalized engagement solutions can support your organization’s needs, whether it’s managing a chronic condition, reducing emergency department visits, or improving employee health and wellbeing. We’re here to help you drive lasting behavior change and improved outcomes with simple, comprehensive engagement solutions.