Advocacy Services
Through advocacy, we deliver hope.
If you have a nurse in the family, they are likely your first call to guide you through any health issue. Wouldn't you want the same for all your plan members?
At CHC, we believe that advocacy is an invaluable tool for educating and engaging plan members. Our dedicated team gets to the core of employee health by navigating members to the best resources, resulting in lower health costs and, above all, happier employees.
Our core focus areas
- Savings
CHC reduces wasteful spending by guiding plan members to high-quality, cost-effective care. From avoiding unnecessary procedures and navigating pharmacy spend to redirection of in-network providers, our clinical advocacy ensures smarter healthcare decisions that protect both the member and the plan spend.
- Peace of Mind
Advocacy allows employees to receive the care they need with reduced time away from work. Having access to a trusted resource lets plan members rest assured a clinical expert will walk alongside them in their and their family's health journey.
- Vendor Optimization
Consultants and the HR team spend a tremendous amount of time identifying the right solutions to plug into the benefits plan. It is our job to make sure employees know about them and use them. We drive the utilization to optimize vendor success. - Prevention
CHC works to ensure your plan members have all the necessary tools to keep them healthy and at work. We support the plan design to maximize appropriate guidance of care and stay ahead of health issues that could escalate.
Results worth talking about
Case Study: Vendor Optimization
50% Diabetes Program Increase
CHC advocacy increased utilization of diabetes management vendor from 18% of eligible members in January 2020 to 75% in mid-2022. Of those engaged members, over half maintain control of their of their diabetes, resulting in $90 savings/month per member.
56% Patient Assistance Drug Program Increase
CHC Advocacy increased vendor utilization by 56% in less than one year. The addition of a trusted nurse significantly increased members' willingness to follow advice from healthcare professionals.
200% Center of Excellence Program Increase
Armed with Wellnecity data, CHC Advocacy increased vendor awareness and referral conversion rate from 15% to 45%. Dozens obtained better care and/or avoided unnecessary care, saving plan money for redeployment.
What members are saying
"Lauren is amazing. She worked tirelessly around the clock checking on me, going over labs and reports, and finding specialist care ASAP. She goes above and beyond, gets personally invested in your care, and above all else you know that someone is looking out for you. Love that we have her!"
"Wow. My family was going through hell trying to get my mom her chemo medication. We were calling every day begging for insurance to approve her meds. My [HR contact] recommended I call nurse Sarah and she was so much help. She got it done for us and truly cared! Beyond grateful for all their help."
"Tiffany - you are my nurse, you have been the most helpful in the process. This is a weight off my heart, body and soul."
- from a member lost in a thirteen-month claims adjucation nightmare. Tiffany was able to help him the same day with a processed report and helped erase $73k in medical debt.