SOLVE SOCIAL NEEDS and close gaps
Discover our industry-leading approach to effectively address the social needs of your members, and close gaps in care.
Solving members’ social needs
We developed a proven model that is at the forefront of solving the social needs of health plan members. Our personalized approach, technology and local, human-to-human connections enable us to effectively reach and engage those who need it most —members with significant health needs who often don’t seek help on their own.
Our success lies in a comprehensive solution that identifies and tackles barriers, pays for them, and documents every step in our platform — Implify™. Implify is HITRUST certified and seamlessly integrates with other healthcare technology systems, ensuring a smooth and transparent process from assessment to care planning, outcome reporting, and closing social and care gaps.
GroundGame.Health has developed a national network of community-based organizations (CBOs), enabling us to solve complex social needs at a hyperlocal level. Our unique model positively impacts the communities served because we have flowed more than $36M downstream to the CBOs, advancing their missions.
Closing gaps in care
Through our technology and services, we create personalized health journeys to deliver an experience based on the information we know as provided by the health plan, or that we discover along the way through our interactions with each member.
We offer a range of Focus Journeys, designed to close both social and clinical gaps, used alone, or in combination, to meet your specific objectives.
Annual Wellness Visits
Improves AWV completion to surface health concerns before they become health problems
Behavioral Health
Holistic education that destigmatizes, drives awareness, and promotes seeking help when needed
Care Transitions
Reduce the risk of complications and readmissions.
Children’s Health
Educate parents and promote plan benefits, services, as well as when and where to seek care
Colorectal Care Screenings
Promotes awareness and completion of potentially life-saving screenings
Diabetes Care
Drives awareness, screenings, and exams that are critical to effective diabetes management
ED Diversion
Ensures that members know when, where, and how to seek treatment — and the cost implications of their choices
Maternal Health
Ensures that members are guided throughout their pregnancy journeys
Women’s Health
Drives key women’s-specific screenings and healthy lifestyles
Lines of Business supported
GroundGame.Health provides value across all your LOBs:
Value for Medicare Advantage
- Improve Star Ratings by solving social needs such as housing stability, food security, and access to transportation.
- Help members adhere to attending doctor appointments.
- 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.
Value for Managed Medicaid
- Connect Medicaid members to needed resources to address things such as housing instability, nutrition insecurity, help with utilities/rent, affordable and safe housing, reliable transportation, and more.
- Track, measure and increase compliance to improve HEDIS measures.
- Every state is unique in how they tailor their services to meet the specific needs and priorities of the populations they serve. GroundGame.Health has a model that enables us to deliver a flexible solution that addresses individual circumstances.
Value for Commercial and Marketplace
- Help members gain access to social services 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 are requesting options to help employees address 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 he could 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.
