Vice president of Medicaid at Blue Cross and Blue Shield of Minnesota.
“Being a caregiver can be a deeply rewarding experience, but one that comes with many emotional challenges and gaps in knowledge. When a caregiver receives the kind of support and education available through Ceresti, they feel less isolated and more confident on how to best meet the changing needs of their loved one.”
Most payers and providers do not have a relationship with the family caregivers of their members (patients), and lack an effective “playbook” to operationalize caregivers to improve outcomes for their members.
Ceresti provides you with a proven playbook for how to identify and enroll the family caregivers of your most underserved members into our proven Digital Caregiver Activation Program (DCAP), and then activate them to achieve the Triple Aim.
Our enrollment teams can independently enroll caregivers of 20% of members who are eligible for the DCAP.
Ceresti’s Digital Caregiver Activation Program is a non-medical digital health program comprising personalized health education, resources, social worker-led proactive coaching, and caregiver-enabled remote monitoring, all delivered via a dedicated tablet that is shipped to the caregiver’s home.
Caregivers complete an average of 2.2 risk assessments per caregiver per week, and engage in their DCAP for an average of 40 minutes per week.
Approximately 20% of (care-recipient) members are eligible for Ceresti’s Digital Caregiver Activation Program (DCAP). About 25% of these members will have a spousal caregiver who is also a member. Thus, for 5% of eligible members, the DCAP touches 2 members because a spousal caregiver member provides care for a care-recipient member.
In a typical Medicare Advantage population, about 25% of members will be targeted for enrollment in the DCAP. Of those, 20% will agree to enroll in the DCAP. Clients can thus expect 5% of all members to enroll in a DCAP in the first year. Percentages are higher for Duals plans and PACE programs.
The table above details the value of Ceresti’s DCAP in terms of the rigor of currently available supporting data, the magnitude of costs savings ($6,500 per enrolled member per year), revenue attributable to increased RAF accuracy (~$5,000 PEMPY), impact on member experience (CAHPS), and other STAR measures. Clients should expect an ROI greater than 3x. For additional details review our Outcomes data.
Assuming a full deployment (20% eligible, 20% enrollment), DCAP cost savings correspond to ~1.8% of a total health plan’s medical costs, and revenue attributable to increased RAF accuracy corresponds to ~1.4% of a total health plan’s medical costs. The total impact of Ceresti’s DCAP is thus more than 3% of total medical costs. Planned program improvements will increase this percentage further.