Health Plans

Smarter Member Impact Strengthens Outcomes and Plan Performance

Health plans drive better outcomes when they guide member decisions earlier in the health journey. By uncovering risks, closing gaps, and improving engagement long before issues escalate, they build trust and advance healthier populations.

That’s the power behind HealthVia™.

What Is HealthVia™ for Health Plans?

At Embel Assist, we anchor every effort in four foundational pillars: data, prediction, orchestration, and measurement. This framework helps health plans understand members more clearly, anticipate needs, deliver timely guidance, and adjust as care unfolds.

HealthVia™ is not an app. It is a method powered by these pillars to drive better outcomes.

How HealthVia™ Supports Health Plans at Every Stage of Health

HealthVia™ blends billing data, clinical codes, behavioral trends, and plan priorities to guide outreach that improves member decisions, boosts adherence, and drives long-term impact. Each journey adapts to where the member is in their health, helping plans move from broad campaigns to precise, performance-based touchpoints.

Where Health Plans Gain with Embel Assist

Emerging Risk Detection

Spots rising-risk members early by merging claims, behavior, and activity data.

Preventive Outreach

Activates wellness nudges and closes risk gaps tied to STAR, HEDIS, and retention goals.

Health Encounter Visibility

Supports transitions and reviews by delivering timely context during health episodes.

Post-Discharge Activation

Reengages members after discharge to prevent readmits and support recovery.

Ongoing Engagement

Maintains touchpoints across chronic journeys with minimal team effort.

Performance Insights

Tracks outcomes in real time and aligns outreach to evolving plan priorities.

Why Health Plans Choose Us to Move the Needle

Ready-Built Member Engagement Paths

  • Applies tested journeys for care, gaps, and retention
  • Skips building outreach from scratch
  • Frees plan teams to prioritize impact and goals

Seamless Alignment with Plan Operations

  • Connects with data systems and reporting tools
  • Fits into plan infrastructure without major changes
  • Speeds up interventions without extra overhead

Outcomes That Drive Real Plan Impact

  • Links outreach directly to STAR and retention goals
  • Uses real-time results to refine outreach flow
  • Lifts actions that lower cost and boost results

Key Metrics for Health Plan Success.

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Increase in preventive screenings & chronic care adherence

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Reduction in hospital readmissions

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Improvement in Star Ratings

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Lower medical loss ratio (MLR)

0%

In cost avoidance

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PEPY reduction in medical costs

* When scope and objectives are maintained throughout project.

Let’s activate your framework strategy today!

Getting started doesn’t have to be hard. HealthVia makes the path clear—and once we begin, results build fast.

Step 1

Take Our Healthcare Engagement Maturity Assessment

Step 2

Access Your Results

Step 3

Depending on where you are at, we can assist.

  • Starting from scratch – create a roadmap
  • Rescue existing strategic and implementation efforts
  • Subject matter expert resources to fill gaps on current project(s)
  • Provide strategic oversight and governance

Testimonials

Use Case Library

Consulting

Health Plan

How a large national health plan leveraged integrated capabilities to increase Medicaid enrollment by over 17%.

Consulting

Care Delivery Organization

Discover how a regional care delivery organization revolutionized patient engagement to achieve ambitious goals over the next 3 years.