GoHealth’s Encompass Platform Drives Value-Based Care Engagement to Improve Health Outcomes

Life SciencesNews

By AIT News Desk On Aug 7, 2020

GoHealth integrates consumer health needs, technology-driven engagement, and value-based care providers to improve health outcomes and personalize care for GoHealth customers

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GoHealth, Inc., a leading health insurance marketplace, announced its proprietary Encompass Platform will double down on the value-based care model as a key component in the future of Medicare Advantage care delivery. GoHealth’s Encompass Platform is a digital health solution that connects consumer insights and essential functions across the customer journey to identify early interventions that GoHealth believes will improve a patient’s coverage, drive superior health outcomes, and better connect customers with key players in the healthcare ecosystem.

This innovative offering enables a holistic and technology-driven approach to improving customer engagement with value-based care models during initial Medicare Advantage plan selection and enrollment, as well as during a series of post-sale, multi-channel engagements facilitated by GoHealth’s TeleCare team and dynamic marketing automation. Driving meaningful conversations and promoting positive actions around value-based care throughout the entire consumer lifecycle helps ensure customer plan satisfaction, ultimately delivering better health outcomes for customers and creating a stronger connection between the provider, payer, and patient.

“Value-based care within Medicare Advantage is increasingly becoming an optimal care model for the customer, provider, and broader healthcare industry,” said Ben Miller, Senior Vice President of Strategic Partnerships. “As we look at this space, GoHealth can advance the value-based care model through our Encompass Platform by working with providers and customers to deliver better VBC (Value-Based Care) integration and engagement tools. This will best position our 200+ person TeleCare team to deliver an unparalleled customer experience and help the Medicare population achieve better health outcomes, a win-win for all.”

GoHealth leverages its Encompass Platform to collaborate with its payer and value-based provider partners to coordinate outreach beyond enrollment, empowering customers to appropriately engage with their Medicare benefits to address their health and wellness concerns. According to the National Council on Aging, approximately 80% of seniors have at least one chronic disease, and 77% have at least two, representing a population that requires advanced care and medication coordination. With an emphasis on accessible, coordinated, high-quality care, value-based care models are positioned to improve health outcomes and customer satisfaction for this population. As the industry continues to shift from a traditional fee-for-service to value-based care delivery model, GoHealth’s position as a trusted advisor during upfront plan selection and a partner throughout a customer’s entire healthcare journey is invaluable in driving meaningful engagement into value-based care models. Industry trends show that providers and payers support a value-based care model, and GoHealth’s holistic approach to customer engagement advances value-based efforts, and continues to be the bridge to better health and wellness for Medicare beneficiaries.

“For GoHealth and our partners, providing better access to healthcare is always the end goal” said Jake Gudmundsen, President of Medicare & Internal Distribution. “This innovative offering within our Encompass Platform helps to better coordinate customers’ selection and engagement into the right care model for them and connect the appropriate players in the healthcare ecosystem to optimize health outcomes.”

GoHealth is deeply committed to the delivery of new and innovative solutions that improve the healthcare system in America. The Encompass Platform enables GoHealth to work towards that mission as it partners with providers, payers, and other players in the healthcare ecosystem to simplify customers’ healthcare journeys and promote health-focused outcomes.