The challenge
Breaking free from underutilized digital potential
A leading health insurer sought to enhance the impact of its digital platforms by showcasing how digital engagement directly led to enhanced member health outcomes, particularly in closing care gaps. The aim was to validate present digital investments and future strategic initiatives.
Key challenges
Challenges in isolating digital engagement impact from other methods
Need for flexible tool to project value, adjust assumptions
Difficulty in data integration across different sources
Need to assign financial value to care gap closures
The solution
Data-driven digital engagement optimization
Evaluating digital health impact
Simulate scenarios and adjust assumptions with Tableau tool
Foster change through strategic, targeted digital reminders
Isolate digital impact through propensity scoring analysis
Implementation approach
1
Data integration
Developed a comprehensive view of member interactions
Built a robust data pipeline
Consolidated member data from different sources
2
Model development
Applied propensity score matching to isolate digital impact
Developed a behavioral value quantification model
Created a digital value simulator tool
3
Value delivery
Measurement of incremental value and potential savings
Implementation of the value measurement framework
Dynamic scenario modeling and analysis
The impact
Change that influences lives
Effective measurement and optimization
Quantified financial savings and potential revenue from STARS bonuses
Demonstrated the impact of digital engagement on care gap closure
Drove strategic decisions for future digital investments
Increased operational efficiency
Improved member engagement and satisfaction
Data-driven optimization of digital strategies
Improved care gap closure rates
Key Strategies
Continuous optimization of digital engagement strategies
Personalized digital interventions
Data-driven decision-making
Looking ahead
Personalized engagement
Tailoring digital health interventions for individual needs
AI-Driven prediction
Integrating AI to predict and close care gaps
Strategic scalability
Widening digital engagement across all business lines
