Healthcare Plans

Better Member Care with
Data-Driven Precision

HealthFeed equips health plans with AI-powered tools to unify data, engage members, close gaps, and drive measurable outcomes, reducing costs while improving satisfaction and compliance.

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Problem Highlights

85%

of Medicaid enrollees face at least one social risk factor, but most plans still use paper-based assessments

$250B+

potential annual savings in the U.S. by shifting to digitally-enabled care coordination

72%

of health plans say automated outreach improves care gap closure and reduces operational costs

The Solution

How HealthFeed Supports Plans

Drive Proactive Interventions Across Populations

HealthFeed integrates data for real-time risk identification and automated outreach, optimizing chronic and preventive care.

  • Connects EMRs, claims, and more for a 360° member view.

  • Uses AI to flag rising risks and recommend actions.

  • Segments populations by condition or risk for targeted plans.

63%

reduction in hospital readmission rates when using integrated population data frameworks

76%

improvement in Chronic disease management metrics with unified, real-time patient data integration.

Orchestrate Personalized Care Journeys

40%

reduction in readmissions using analytics and workflows.

38%

lower no-show rates with text reminders.

HealthFeed unifies clinical data and automates plans to engage high-risk members and reduce administrative burden.

  • Creates real-time Member 360 views with history and gaps.

  • Delivers tailored nudges via preferred channels like SMS.

  • Automates tasks and reminders for post-discharge follow-ups.

Address Social Barriers Effectively

HealthFeed digitizes screenings and connects members to resources, turning SDoH insights into actionable interventions.

  • Integrates screening tools like PRAPARE with care workflows.

  • Automates referrals and reminders for community support.

  • Tracks social risks alongside clinical data for holistic views.

85%

of enrollees with social risks, mitigated by digital assessments.

40%

readmission drop with barrier-focused analytics.

Boost Ratings with Targeted Gap Closure

72%

of plans see gap closure gains from automation.

11x

higher appointment risks without reminders.

HealthFeed ingests quality data to identify gaps, automate outreach, and track compliance for improved Star Ratings.

  • Maps gaps to members with NCQA-compliant tracking.

  • Prioritizes urgent measures and escalates outreach.

  • Provides dashboards for real-time performance monitoring.

Enhance Adherence and Coordination

HealthFeed supports screenings, reminders, and team collaboration to reduce no-shows and improve behavioral outcomes.

  • Automates appointment management and follow-ups.

  • Delivers personalized, stigma-reducing content.

  • Enables secure sharing across providers and managers.

38%

no-show reduction with reminders.

94%

accuracy in early detection via AI.

Support for All Plan Types

Medicaid MCOs

HealthFeed supports Medicaid Managed Care Organizations by integrating social risk data to enhance care access and reduce disparities for underserved populations.

Medicare Advantage

HealthFeed empowers Medicare Advantage plans with personalized outreach and analytics to improve chronic care management and boost Star Ratings effectively.

Commercial Insurance Plans

HealthFeed enables commercial insurers to streamline care coordination and engagement, driving better outcomes and operational efficiency for diverse member bases.

DSNP

HealthFeed assists Dual Special Needs Plans by unifying clinical and social data, ensuring tailored interventions for members with complex health and social needs.

Close Gaps.
Engage Members.
Improve Outcomes.

We’ll show you how to ingest risk data, orchestrate outreach, and drive measurable improvements without disrupting your existing systems.

Frequently Asked Questions

How does HealthFeed integrate with our existing systems?

HealthFeed offers pre-built connectors for major EMRs, EHRs, CRMs, utilization management, and care management platforms (e.g., Cerner, Epic, ZeOmega). We also offer custom integrations and APIs, tailor built for your specific requirements and workflows.

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How do you ensure data security and regulatory compliance?

We’re fully HIPAA‑compliant and built for CMS interoperability readiness. Additionally we adhere to GDPR, CPRA , and TX- RAMP guidelines. All data is encrypted in transit and at rest, with role‑based access controls, audit logging, and SOC‑2–certified infrastructure—so you can trust member and patient information stays private and secure.

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Can we customize engagement journeys to our brand and workflows?

Absolutely. HealthFeed’s white‑label member app and provider portal allow you to tailor UI/UX, messaging tone, and channel mix. Our AI‑driven personalization engine can be tuned with your clinical rules, reward programs, and specialty‑specific pathways so every outreach aligns with your brand and care protocols.

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What ROI and outcomes can we expect—and how quickly?

Most clients see measurable improvements within a few weeks: higher care‑gap closures, point boosts in CAHPS/HOS, and reduced avoidable utilization. Our real‑time analytics dashboards let you track metrics like outreach open rates, appointment adherence, and cost savings—so you can prove value from day one.

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What does implementation and ongoing support look like?

A typical rollout takes 6–8 weeks, including system integration, journey design workshops, and training. You’ll have a dedicated Customer Success Manager plus 24/7 support resources, regular strategy reviews, and access to our best‑practice playbooks to optimize engagement and continuously improve outcomes.

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