Participating in California’s largest nonprofit health data network streamlines post-discharge care coordination, reduces readmissions, and improves member outcomes and experience — all while saving more than 9 hours a day of staff time for a single team
Over the past few years, health plans large and small have been transitioning to new roles in the healthcare landscape, serving as crucial hubs for information, care coordination, population health management, and even public health measures such as COVID-19 vaccination. One of the state’s leading health plans recognizes the value of health data sharing in their evolution. The health plan has, for a long time, had a big vision for health data exchange and its ability to improve the quality of care and member experience while reducing administrative burden for its contracted hospitals and providers.
Since 2018, Manifest MedEx has been working to equip the large health plan with the clinical data it needs to improve care coordination, reduce inefficiencies, address gaps in care, and enhance the member experience. In this case study, we’ll review how the health plan is using admission, discharge, transfer (ADT) notifications delivered by Manifest MedEx, including:
- Receiving near real-time notifications when members are seen in the emergency room or admitted to the hospital.
- Receiving near real-time notifications that members are being discharged from an inpatient stay, prompting care teams to follow up as needed.
- Helping members transition to home and/or help them in their home environment, as well as managing those members transferred to a lower level of care, such as a skilled nursing facility.
Within just the first few months of going live with notifications from MX, the health plan saw:
- A reduction in outbound calls to hospitals of 20 percent per month
- A daily savings of 9.7 hours of staff time due to reduced calls to hospitals