National home health company used real-time oversight + Connect Healthcare Collaboration clinical advocacy to drive timely outreach, better care and capture contract credits.
- 248% ↑ nurse-led outreaches (Q1 2025)
- $939K net savings due to MSK targeted interventions
- $181K credit recovered (PBM reconciliation)
- 8,400+ employees
With limited outreach and growing concerns over contract compliance, the organization struggled to:
- Engage at-risk members with timely, targeted support
- Increase utilization of key programs (diabetes, MSK, cancer screening)
- Validate PBM performance and ensure contract accuracy
Wellnecity’s real-time insights, paired with high-touch outreach from Connect Healthcare Collaboration Clinical Advocacy, delivered a stronger engagement strategy starting January 2025:
- Musculoskeletal (MSK) and Diabetes program outreach
- Cancer screening reminders and Center of Excellence (COE) support
- Ongoing contract validation and vendor accountability
The Results
Member Engagement:
- 248% increase in nurse-led outreaches (Data through:Q1 2025 + YoY 2024)
- Higher utilization of diabetes and cancer screening programs
- Strong internal momentum and confidence in the Wellnecity–CHC model
MSK impact:
- 76% increase YoY targeted interventions; 24% of eligible cases steered to lower-cost, high-quality sites of care; 1 joint surgery avoided
- Over 4x ROI
- $939K net savings (Q1,Q2 2025)
Oversight in Action:
- PBM reconciliation error uncovered (ASP misaligned) → $181K credit issued
Operational Strengthening:
- Proactive invoicing + centralized financial/clinical data for faster decisions
The Outcome
More timely and personalized outreach, greater ROI on care programs, and financial recoveries tied directly to real-time oversight.
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