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Solutions

WELLFRAME SOLUTIONS

Wellframe reimagines healthcare relationships through Digital Health Management.
Become a trusted advocate by empowering staff and members.

Learn more

COMMERCIAL

Deliver the convenient experience your customers expect.

MEDICARE

Meet seniors where they are and increase member engagement, satisfaction, and
retention.

MEDICAID

Amplify your resources to deliver the health support Medicaid members deserve.

DIGITAL CARE MANAGEMENT

Extend the reach of staff to deliver higher engagement with your high-risk
members.

DIGITAL CUSTOMER SERVICE

Help members make the most of their benefits by unifying resources in one
comprehensive solution.
Platform

WELLFRAME PLATFORM

Our comprehensive Digital Health Management (DHM) platform offers proven
scalable solutions for care management and advocacy.

Learn more

TECHNOLOGY

Prioritize members by need, generate alerts, and recommend follow-up actions
with our member app and staff dashboard.

CONTENT

Care navigation programs that support the whole person, uncover member insights,
and trigger real-time alerts.

INTEGRATIONS

Deliver a personalized seamless digital experience by unifying member resources.

DATA SCIENCE & ANALYTICS

Quantify your impact and generate insights that drive member experience and
staff efficiency.

CUSTOMER PARTNERSHIP

Achieve your digital transformation ambitions with a proven collaborator who
supports you each step of the way.

WELLSQUARED MEMBER MARKETING

Wellframe & Linkwell partner to deliver Wellsquared Member Marketing. Improve
your health plan’s member engagement & drive conversions.
Resources

RESOURCE LIBRARY

Wellframe reimagines healthcare relationships through Digital Health Management.
Become a trusted advocate by empowering staff and members.

View all resources

REPORTS

CASE STUDIES

WEBINARS

PODCAST

EBOOKS

NEWSROOM

CUSTOMER STORIES

Company

OUR COMPANY

We believe every person should feel confident, cared for, and supported by the
healthcare they have, every day.

Learn more

MEET THE WELLFRAME TEAM

Get to know the talented and passionate people behind the Wellframe digital
health management solution by watching these short videos.

OUR LEADERSHIP

We’re on a mission to help all people get the health support they need, when and
where they need it.

CAREERS

We’re building technology that reimagines the way health plans engage with their
members, impacting more lives. Join us.

CONTACT

We'd love to hear from you.
For members

Request A Demo

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 * 
 * 

 * Solutions Solutions
   
   
   WELLFRAME SOLUTIONS
   
   Wellframe reimagines healthcare relationships through Digital Health
   Management. Become a trusted advocate by empowering staff and members.
   Learn more
   
   BY LINE OF BUSINESS
   
   COMMERCIAL
   
   Deliver the convenient experience your customers expect.
   
   MEDICARE
   
   Meet seniors where they are and increase member engagement, satisfaction, and
   retention.
   
   MEDICAID
   
   Amplify your resources to deliver the health support Medicaid members
   deserve.
   
   BY USE CASE
   
   DIGITAL CARE MANAGEMENT
   
   Extend the reach of staff to deliver higher engagement with your high-risk
   members.
   
   DIGITAL CUSTOMER SERVICE
   
   Help members make the most of their benefits by unifying resources in one
   comprehensive solution.
   
   NEW FROM WELLFRAME
   
   BUYER’S GUIDE: COMPARE DIGITAL HEALTH MANAGEMENT SOLUTIONS
   
   Digital health management is more than just a smartphone app or a computer
   dashboard. It’s how health plans can use technology in a more human way, to
   support both members and staff.
   
   Continue reading
 * Platform Platform
   
   
   WELLFRAME PLATFORM
   
   Our comprehensive Digital Health Management (DHM) platform offers proven
   scalable solutions for care management and advocacy.
   Learn more
   
   TECHNOLOGY
   
   Prioritize members by need, generate alerts, and recommend follow-up actions
   with our member app and staff dashboard.
   
   CONTENT
   
   Care navigation programs that support the whole person, uncover member
   insights, and trigger real-time alerts.
   
   INTEGRATIONS
   
   Deliver a personalized seamless digital experience by unifying member
   resources.
   
   DATA SCIENCE & ANALYTICS
   
   Quantify your impact and generate insights that drive member experience and
   staff efficiency.
   
   CUSTOMER PARTNERSHIP
   
   Achieve your digital transformation ambitions with a proven collaborator who
   supports you each step of the way.
   
   WELLSQUARED MEMBER MARKETING
   
   Wellframe & Linkwell partner to deliver Wellsquared Member Marketing. Improve
   your health plan’s member engagement & drive conversions.
   
   NEW FROM WELLFRAME
   
   THE 4-STEP PLAYBOOK TO MAKE DIGITAL TRANSFORMATION POSSIBLE
   
   Digital transformation is a hot topic in healthcare. Ushering in new
   technologies and improving member experiences is exciting—but the prospect of
   implementation can be daunting.
   
   Continue reading
 * Resources Resources
   
   
   RESOURCE LIBRARY
   
   Wellframe reimagines healthcare relationships through Digital Health
   Management. Become a trusted advocate by empowering staff and members.
   View all resources
   
   REPORTS
   
   CASE STUDIES
   
   WEBINARS
   
   PODCAST
   
   EBOOKS
   
   NEWSROOM
   
   CUSTOMER STORIES
   
   NEW FROM WELLFRAME
   
   WHY HEALTH PLANS SHOULD STOP USING HEALTHCARE JARGON IN MEMBER COMMUNICATIONS
   
   Members misunderstand their health needs when their providers use healthcare
   jargon. Health plans can help clear up their confusion.
   
   Continue reading
 * Company Company
   
   
   OUR COMPANY
   
   We believe every person should feel confident, cared for, and supported by
   the healthcare they have, every day.
   Learn more
   
   MEET THE WELLFRAME TEAM
   
   Get to know the talented and passionate people behind the Wellframe digital
   health management solution by watching these short videos.
   
   OUR LEADERSHIP
   
   We’re on a mission to help all people get the health support they need, when
   and where they need it.
   
   CAREERS
   
   We’re building technology that reimagines the way health plans engage with
   their members, impacting more lives. Join us.
   
   CONTACT
   
   We'd love to hear from you.
   
   REQUEST A CUSTOM DEMO FOR YOUR HEALTH PLAN.
   
   Talk to Sales
 * Interactive demo

For members


4 STEPS TO HELP HEALTH PLANS OWN THE MEMBER EXPERIENCE

In healthcare, it often feels as though the industry is changing so quickly that
it’s hard to keep up. How members communicate, what kinds of experiences they
expect, and what they can afford continues to shift. But health plans are
changing, too—from adopting digital technologies to partnering with local
organizations—in an effort to own the member experience and improve care
delivery.

Why is there a renewed incentive for health plans to address the member
experience now? STARS and HEDIS ratings are becoming more important than ever to
retain and attract new members. Medicare Advantage members now have insight into
your quality and satisfaction scores—which can and will impact their buying
decisions. Health plans also have to appeal to members purchasing insurance
coverage through the ACA, as well as meet increasing expectations from employer
groups that want to differentiate with competitive benefits.

There is no question that pivoting to a modern member experience is not easy and
will require an intentional effort to transform. Many members don’t see their
health plan as a trusted ally, but as a confusing organization that processes
their claim. Below are 4 actions that can help health plans own the member
experience and build better member relationships.




STEP 1: PROVIDE A BEST-IN-CLASS MEMBER EXPERIENCE

Delivering a superior member experience means making sure members can find,
access, and understand their health and benefits information. Give your members
the ability to engage with your health plan when it’s most convenient for
them—and make it as pleasant as possible. 

Just because members have to fill out a form or complete an assessment doesn’t
mean it has to take an hour over the phone. Health plans have the capabilities
to reach and engage members through multiple platforms. Try looking to other
industries for best practices on how to effectively market to your members and
build their trust.


STEP 2: KNOCK DOWN INTERNAL DATA SILOS

Many health plans operate in silos, complicating internal communication. This is
not surprising given the size and scope of health plan responsibilities. Digital
engagement tools can make it easier for clinicians and customer support staff to
work as a team. But it’s possible to take that one step further and enable
cross-department member support. 

Digital engagement tools enable members to send messages to their clinicians. In
the course of a conversation, a member might have a question about a recent
bill. Instead of referring a member to customer service through an 800-number,
the care manager can bring a customer service rep right into the chat thread to
answer the question directly. Plus, both the clinician and customer support rep
can see the member chat history, reducing time spent rehashing the same
information.




STEP 3: EXPAND CARE MANAGEMENT ACROSS THE RISK PYRAMID

When implementing a digital engagement solution, many health plans start with
care management for high risk members to expand their reach and make the most
immediate impact. But using digital tools allow plans to scale engagement across
the risk pyramid. After all, members need support throughout their journeys—not
just with high-risk condition management.

Digital member engagement can help clinicians and customer support build
relationships with members before they have a critical need. This proactive
outreach helps members better understand their benefits, get access to helpful
clinical information, and schedule key appointments.




STEP 4: TAKE YOUR MEMBER MARKETING TO THE NEXT LEVEL

The old saying “if you build it they will come” is a fallacy. If you really want
your members to use your digital engagement solution, you have to tell them
about it (a few times, probably), invite them, and make it easy to move through
the process. Friction of any kind increases the risk of dropoff.

Healthcare isn’t just a series of points in time. To differentiate your plan,
design member marketing for the holistic member journey rather than for episodic
touchpoints. Doing this requires personalization: making sure members only
receive information relevant to their health, and making them feel as though
their health plan really knows them. It also means using multiple communication
channels and giving members the choice of how, when, and where they engage with
you. Most of all, it means being proactive, and helping members before they know
they need help. 

As a health plan, you have to deliver value to members in order to build their
trust. Then you can ask for information or actions in return.



--------------------------------------------------------------------------------

Is your health plan ready to take ownership of your member experience, improve
retention, and deliver whole-person support?

Check out our on-demand webinar: How health plans can use digital health
technology to improve the member experience. 

In this webinar, speakers from Wellframe and GuidingCare share their experiences
working with health plans to implement digital health technologies across member
populations.

Watch the webinar

Request Demo
 * Health Plan Solutions
   * Commercial
   * Medicare
   * Medicaid
   * Digital Care Management
   * Digital Customer Service
 * Platform
   * Technology
   * Content
   * Integrations
   * Data Science & Analytics
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 * Resources
   * Reports
   * Case Studies
   * Webinars
   * eBooks
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 * Company
   * About Wellframe
   * Leadership
   * Careers
   * Contact Sales
   * Contact
 * Interactive demo
 * For Members
   * Get Started
   * FAQs

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