By: The Granite List
In today’s healthcare landscape, navigating benefits can feel overwhelming. While artificial intelligence and call center models provide convenience, they often lack the empathy and personalized guidance required to address individual needs effectively. A high-touch clinical advocacy approach is proving to be a better solution, offering plan members the support and resources they need to make informed healthcare decisions while delivering measurable results for employers.
This proactive method goes beyond answering questions. It identifies at-risk members early, guiding them toward appropriate resources before high-cost events or adverse outcomes occur. By focusing on timely, tailored outreach, this approach ensures members understand and maximize their benefits while feeling supported throughout their health journeys.
One member shared their experience with a clinical advocate, “My nurse goes above and beyond, gets personally invested in your care, and above all else, you know that someone is looking out for you.” This personal connection underscores the profound impact of advocacy rooted in empathy and expertise.
Connect Healthcare Collaboration (CHC) is leading this shift by combining data-driven insights with compassionate nurse advocates who act as trusted partners for members. The results speak for themselves: including examples of a 56% increase in vendor utilization within the first year, a 50% rise in diabetes management program participation, and a 200% boost in engagement with centers of excellence/second opinion programs. These figures highlight the effectiveness of warm, personalized advocacy in driving both member satisfaction and cost-saving outcomes.
Additionally, CHC delivers a remarkable average return on investment of 274% in the first year, underscoring the financial value of this approach. Whether it’s guiding members to cost-saving solutions, preventing unnecessary care, or improving medication adherence, this model positively impacts both members and employers.
“Our clinicians are assisting those on the health plan that are battling with tough medical issues. The last thing those individuals want is to sit on hold or have to chat with a bot to try and get answers related to their care. Our team is equipped with data showing us moments in time when people need the most help and reaching out as a healthcare friend to make sure their concerns are heard and they are navigated to the best solution available to them.”
Head of Nurse Advocacy, Connect Healthcare Collaboration
By blending the precision of data analytics with the power of human connection, CHC’s clinical advocacy redefines healthcare navigation. It’s a reminder that while technology is a valuable tool, there’s no substitute for the empathy and understanding of a trusted advocate. This innovative approach transforms healthcare experiences, delivering better outcomes and a sense of hope for all involved.
We are proud to feature Connect Healthcare Collaboration on the Granite List.