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Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
Wellth’s smartphone-based Medication Adherence Rewards Program motivates and empowers individuals diagnosed with chronic behavioral health conditions to engage in the daily healthy behaviors that generate actual clinical outcomes. Using a repetitive trigger-behavior-reward interface, Wellth develops a long term habit of self-management and has shown the ability to improve outcomes for our partners including ED utilization, readmissions, and metrics like A1c control for Diabetics. ​ Wellth’s solution is offered to high-acuity health system patients through an intuitive smartphone app that includes daily personalized nudges as well as quick photo ‘check-ins’ for daily medications. Patients enrolled into the program are endowed a $30 reward balance on the first day of each month, but must consistently upload their medication photos each day to earn the full reward. Deductions of $2 per day are made for missed photo uploads (until a minimum balance of $0). Our Wellth Member Educator team regularly monitors enrolled member behaviors, outreaches to members flagged as nonadherent, and initiates motivational interviewing discussions with nonadherent members if appropriate. The Member Educators also communicate regularly with health system care managers to report on patient adherence behaviors.
About Wellth:
Wellth is a behavioral economics company focused on helping patients with chronic behavioral and physical health conditions improve the daily behaviors that actually determine outcomes. Wellth is the only digital intervention in the market that gives the necessary daily financial incentives to overcome patients’ Present Bias, which means that human behaviors are motivated by immediate and tangible benefits, not what we rationally know is good for us in the long term. Wellth’s smartphone-based Medication Adherence Rewards Program has consistently produced adherence rates of 85-90%+ even in behavioral health populations diagnosed with serious mental illness, heavily impacted by substance use disorders, and comorbid with physical health diagnoses.
Product Description:

CareSignal deviceless remote patient monitoring engages large patient populations via evidence-based automated texts messages or phone calls, identifying patients with worsening symptoms and alerting case managers and providers of opportunities for proactive care. With 13+ peer reviewed journal publications and industry leading engagement rates, CareSignal decreases unnecessary medical cost, facilitates right site of services, and improves health for thousands of patients a day. CareSignal has been successfully implemented in healthcare organizations across the country, including self-insured employers, payers, and health systems, with outcomes such as an average 2% HbA1c decrease per patient and $200 decrease PMPM.



About CareSignal (a Lightbeam company):

CareSignal provides an accessible remote patient monitoring platform that improves payer and provider performance in value-based care by engaging and identifying rising-risk patients. Care teams receive real-time alerts enabling real-time prioritization and outreach, and patients respond to evidence-based questions via text messages or phone calls. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

Wellth supports members with chronic conditions—including comorbid physical and behavioral health conditions—in managing conditions through improved care plan adherence. We support numerous disease states, including:


  • Diabetes (type 1, type 2, and gestational)
  • Congestive Heart Failure
  • Cardiovascular Disease
  • COPD
  • Asthma
  • CKD/ESRD
  • Oncology
  • Behavioral Health
  • And more...


Pediatric use cases:

Wellth supports pediatric members in improving care plan adherence—including adherence to inhaler use.

Users:

None provided

Description:

30+ condition specific programs, including chronic conditions (COPD, CHF, Diabetes, Hypertension), behavioral health (Depression, Anxiety, SDoH), and post-discharge support.

Pediatric use cases:

All CareSignal programs offer a caregiver option, where a caregiver can provide answers and engage with any applicable CareSignal program, such as asthma or diabetes, on behalf of a minor.

Users:

Patients

EHR Integrations

Integrations:

Not applicable

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Not applicable

Hardware Compatibility:

Mobile / Tablet (web optimized)

Integrations:

Acute care EMR, Patient portal, ADT

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed

Hardware Compatibility:

Other

Client Types

Differentiators

Differentiators vs EHR Functionality:
Health systems and providers give great care within the provider setting but lack the ability and resources to motivate and engage with and serve their patients at home. They must fully rely on their patients to not only pick up their prescriptions but actually adhere to their treatment plan at the right time every single day. Health systems largely do not have the expertise or capabilities to drive real behavior change in the most complex populations that have a history of being unresponsive to standard care management protocols. Although some providers may have implemented digital or remote solutions to improve adherence, they are limited by the large number of patients who eventually stop engaging with those devices. Finally, health systems may not have adequate resources or integration capabilities to support additional care management workflows. Wellth has the expertise to implement the optimal incentive design to motivate the highest acuity portion of a health system’s population, which has historically been unresponsive to all other self-management and adherence initiatives. Our solution streamlines disparate health system care management efforts by improving adherence to behavioral health, physical health, and SUD care plans at the same time. Our daily adherence insights extend much farther than the limited pharmacy claims data that health systems currently use to triage their patients, and we have the resources within our Wellth Member Educator team to act on those insights immediately and outreach to nonadherent members.
Differentiators vs Competitors:
Wellth’s key differentiator from all other adherence-focused vendors is that it applies the most appropriate strategies from behavioral economics, choice architecture, and habit science at every patient touchpoint, to maximize engagement and behavior change. For instance, Wellth successfully increased enrollment rates by endowing members with a financial rewards balance upon enrollment; this is explained by a behavioral economics concept known as the ‘endowment effect’. Furthermore, one of the optimal incentive designs within the Wellth program is to require members to consistently demonstrate adherence each day to avoid deductions from their endowed balance; this concept is defined as ‘loss aversion’ and has been proven to be highly effective in incentivizing behavior compared to gain or lottery incentives in certain situations. Wellth has also carefully designed daily medication check-ins to ensure an enjoyable process for the patient that takes less than 2 seconds. Compare this to other solutions which require patients to show themselves swallowing each pill individually, in a time-intensive, unenjoyable interaction that provides no reward for doing so.
Differentiators vs EHR Functionality:

Because CareSignal does not require any downloads, apps, passwords, or logins, it requires the least activation energy possible from the patient, which directly ties to high engagement and thus outcomes. CareSignal eliminates barriers to engagement with remote patient monitoring programs, including financial resources to have access to stable WiFi or the ability to purchase a smart phone to download an app. All a patient requires to participate in CareSignal programs is access to a phone, which makes the programs incredibility easy to use from the patient perspective that has led to high engagement rates and significant clinical and financial outcomes.

Differentiators vs Competitors:

CareSignal has several key differentiators from existing products and competitors:


1)Proven clinical and financial outcomes, reduction in unnecessary utilization and hospitalizations:

13+ peer-reviewed, positive outcome research publications that give evidence to CareSignal programs both clinically and financially. Further, there are several white papers, case studies & ROI claims analyses outlining cost savings for current partners. A recent claims analysis with a current health system partner demonstrated $32M in medical cost reduction with 30k patients over 4 years. 


2)Deviceless RPM is Scalable:

Engage and monitor tens of thousands of high and rising-risk patients within weeks. Care teams can manage 15x the number of patients with the same amount of staff; a particularly important feature when healthcare budgets & personnel are under strain and the need to create sustainable, scalable proactive care models is essential for growth and success in value-based care. Case manager caseloads increase from 1:100 to 1:1,500 while maintaining high staff and patient satisfaction.


Because the programs are deviceless, activation takes minutes with tens of thousands of patients for a longer engagement period. The tech support, logistics, WiFi, and financial resources required for devices and apps are the barriers realized that prevent even the possibility of a scalable solution.


3)Accessible Technology for Long-Term Engagement and Data Collection: 

CareSignal programs allow patients to use their current phone (no downloads, no passwords, no searching required) & patients never pay for CareSignal messages, no WiFi needed, data or minutes. CareSignal programs directly address health inequities that are often exacerbated by device or app based RPM that further the digital divide.

Due to the accessibility of CareSignal programs and ease of use, the programs have 6x greater engagement than health apps and 1 in 2 patients stay engaged for 12 months+.

Longer engagement means care teams collect more data on their patients, making them able to track their patients’ progress and monitor them for longer than other remote monitoring tools. Value-based care health systems required long-term RPM programs as chronic conditions unfortunately do not last 30 days, but a life time of support, self-manage, and staying connected to their care team. CareSignal programs are designed for patients to be engaged for years at a time to support patients to better self-manage their health at home, while staying connected to their care team if they have real-time worsening symptoms.


CareSignal AI, a proprietary combination of artificial intelligence and machine learning models, powers the superior activation, engagement, and retention that allow CareSignal to generate maximum value for our partners, and their patients. By predicting which patients are likely to disengage, CareSignal AI informs preventative re-engagement, up to ten times more effective than reactive outreach. And by helping target the right patients for activation, CareSignal AI drives better, more efficient adoption, even in challenging populations.


4)High Patient Satisfaction--Easy to use and Convenient:

CareSignal’s deviceless remote patient monitoring technology is accessible and free to all users. Patients receive the programs via automated texts or calls to whichever phone they currently use, including smartphones, landlines or basic mobile phones. 

We are the only company offering free-to-end-user text messages, meaning that patients engaged with the programs NEVER pay for messages or co-pay fees associated with device RPM. 

All messages are written at or below a 6th grade reading level and programs are available in both English and Spanish with other languages available. 

Patients on CareSignal reported high satisfaction with the level of care from their provider (8.4/9), and the level of communication (7.3/9). CareSignal programs are white labeled under the brand of our partners, where patients perceive the programs as their doctor calling them every day to monitor their health and care for them at home. 


5) Scale, Sustain, and Advance Care Management to Worker Smarter, Not Harder:

CareSignal does the heavy lifting for care management teams. Instead of care teams outreaching to patients at random, CareSignal condition specific programs collect patient biometric data and symptomatology data to automatically triage patients so care teams know in real-time which patients have crossed a critical threshold (ex: hypertensive episode) and which patients are experiencing worsening symptoms. 


The speed of implementation and ability to scale CareSignal programs is unmatched in the industry. Patient engagement specialists enroll and activate 1,000+patients/week, allowing case managers to manage 15x more patients at a time and operate top of license to do what they do best: care for more patients. As opposed to manual outbound phone calls and spending their time persuading patients to use a device or download an app while providing on-going tech support to patients, CareSignal eliminates this inefficient workflow to create a data informed case management model. With real-time risk stratification for large patient populations, CareSignal focuses the time and energy of case managers to focus on the right patients at the right time. 


6) Comprehensive Portfolio To Facilitate Comprehensive, Individualized Care for Every Patient:

At present, CareSignal has 30+ disease-specific programs, including chronic heart failure, COPD, diabetes, hypertension, and behavioral health programs for patients. CareSignal collects biometric and symptomatology data that allows one solution to facilitate a comprehensive, tailored approach to patient health and address chronic conditions, behavioral health, SDoH, transitions of care, and gaps in care. Because patients often have more than one chronic condition to manage, the CareSignal portfolio is designed for patients to participate in multiple programs simultaneously in order to support a comprehensive, holistic approach to care and address all areas of patient health.


Further, value-based care health systems have chosen CareSignal for 5 areas of strategic value:

1) Engagement:

-Increase access to care teams with accessible programs that do not require WiFi

-Increase in-network utilization, reduce churn

2) FTE optimization:

-Efficient, scalable, and sustainable case management model

3) Proactive, preventative care model:

-Facilitate meaningful interactions between patients and providers in between appointments 

-Mitigate risk with the ability to manage >50% of the population

4) Rare data collection and outcomes with large patient volumes

-Increase fee schedules and upside potential in payer contracts

5) Growth in value-based care

-Thrive in risk arrangements and increase market share

-Increase contracts for self-insured, MA, etc

Keywords

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CareSignal Value-Based Care RPM.pdf

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Company Details

Founded in 2014

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