Proven results with a proven return
An industry-leading approach to effectively solve the social care needs of your members and close quality gaps.
Improve outcomes, measures, and engagement; reduce costs
At GroundGame.Health, we identify and address the needs of high-risk, high-cost, high-acuity members to reduce unnecessary medical spend, close quality gaps, solve the social care needs of members, and increase both member engagement and satisfaction.
Our proven solution goes well beyond the common passive, technology-only approaches, coupling a HITRUST-certified platform with care coordinators on the ground within local communities. By combining digital outreach with direct, human-to-human connection, we effectively stratify social needs and quality gaps; plan and optimize how best to address them; navigate, educate, and advocate to solve identified issues; then document and report results that deliver a proven ROI to our health plan partners.
While our culturally tailored, multimodal engagement model drives results in closing quality gaps and surfacing hidden needs, it’s our deep relationships within a curated network of community-based organizations (CBOs) across the country that enables us to effectively address social care needs. And our unique operating model ensures that CBOs are incentivized and compensated to sustain their ability to provide critical resources within their communities.
Why GroundGame.Health?
We deliver proven value to health plans.
Improve member outcomes
With up to 80% of the contributors to health outcomes being driven by unaddressed health-related social needs, our proven solution to solve those needs can have an immediate, tangible effect on member health.
Improve quality measures
Our culturally tailored, multimodal member engagement model is proven to break through to hard-to-reach, hard-to-engage populations to drive improvements in Star Ratings and HEDIS scores.
Increase member engagement and satisfaction
We carefully measure the effectiveness of our member outreach. On average, members we work with rate their experience with their GroundGame.Health at a 4.8 out of 5.
Reduce medical costs
Our proven solution delivered for a major health plan a 5:1 ROI, showing a 27% reduction in inpatient admissions, an 18% reduction in preventable ER visits, and a 25% increase in annual wellness visit compliance.
Solving real problems; delivering real results
A disengaged member is a risky, and potentially costly member. Studies indicate that 56% of cancer patients found out about their diagnosis during routine exams or screenings, and yet, 59% of respondents* admit to skipping important exams and screenings. More alarming, some 94% of Americans face barriers to timely screenings* that can include social needs like childcare and transportation, or other barriers that could be addressed through education, navigation, or advocacy.
At GroundGame.Health, we work to address these exact barriers, whether they require direct support resources (social isolation, transportation, food, housing, caregiver support, etc.), or engagement-focused outreach (diabetes care, ED diversion, care transitions, women’s health, etc.).
The results are clear. For one major health plan, our work reduced preventable ER visits by 18% and reduced inpatient admissions by 27%. And in a recent partnership with a Medicare Advantage plan, our approach drove a 60% Annual Wellness Visit (AWV) completion rate among a population of 38,000+ members who hadn’t seen a doctor in over 16 months.
* Details on request.
Lines of Business supported
GroundGame.Health provides value across all your lines of business.
Medicare Advantage
- Improve Star Ratings by solving social needs such as housing stability, food insecurity, and access to transportation.
- Help members follow-through with required preventative care screenings and exams.
- Ensure that members who need help paying for medications enroll in programs to help with prescription costs.
- Increase customer satisfaction scores through an improved member experience.
Managed Medicaid
- Connect Medicaid members to resources that solve social care needs such as housing instability, food insecurity, help with utilities or rent, affordable and safe housing, reliable transportation, and more.
- Track, measure, and increase compliance to improve HEDIS measures.
- Flexible operating model takes state-to-state program variations into account to meet the specific needs of, and priorities for, your Medicaid populations.
Commercial and Marketplace
- Help members gain access to resources that solve social care needs including transportation assistance, housing support, access to healthy food, help finding a doctor or dentist, and more.
- Offer a competitive benefit program to employer groups that seek ways to help employees address common social needs.
- Support value-based care models that incentivize addressing health-related social needs to improve health outcomes and reduce costs.
How we’ve helped members
Real people, real stories.
David*
David is a 53-year-old man whose mother, who lives alone, was recently diagnosed with Stage 4 cancer. As her only source of support, David was overwhelmed by his mother's needs, and the emotional impact they had on him. GroundGame.Health connected David with local resources to support him in coordinating his mother's end-of-life needs, and found grief support resources that he could rely on.
Carrie*
Carrie, 50, was stricken by a rare form of cancer. Facing difficulties with treatment, she was unable to work, and fell behind on her rent and utilities. Resources she’d found on her own didn’t provide all the support she needed. Our care coordinator worked to arrange additional resources, but Carrie was most grateful that our coordinator checked-in regularly, listened, and was there for her during her long recovery.
Larry*
Larry is a 52-year-old man who has high blood pressure and diabetes. He struggles to afford costly GLP-1 and diabetes medications and has difficulty in paying his monthly bills. He didn't realize that he qualified for the financial assistance with utilities that we found for him. We also helped him sign-up for a program to lower the cost of his medications.
* The names and likenesses of individuals and the details of their experiences with GroundGame.Health have been altered to protect individual privacy.
