Pay BillData To Action
In-depth data and analysis converge to create a 360-degree view of members that helps drive action that lower costs, improve outcomes and enhance member engagement.
Identify rising risk and activating measures to stem costs before they happen. Independent Health has created a best-in-class analytics approach that leverages national, regional and local data. EMR, encounter data, claims, demographic and sociographic details are used to create risk profiles as the basis for medical management strategies.
Focused case and disease management and wellness programs help keep your bottom line healthy. An integrated team of data scientists, clinical and pharmacy experts develop impactful member health strategies with a feedback loop for continuous learning, ideation and iteration.
A legacy of strong, local partnerships provides the framework for collaboration with providers on innovative point-of-care programs that create greater care efficiencies exclusively for Independent Health members.
Enhanced member accountability through 1:1 engagement strategies. At work, home and play, Independent Health's products, wellness programs, digital tools and community partnerships get members more involved in their personal wellness.
Medical Management
Independent Health members are stratified to optimize resources for the greatest impact. Our member outreach and support are customized to ensure they receive the right care, in the right place, at the right time.
- Members with greater need due to multiple chronic conditions and higher acute utilization receive focused care coordination through Case Management.
- Behavior change and maintenance strategies assist those with limited or stable chronic conditions.
- Preventive care awareness and education outreach help sustain members who are healthy and have maintenance or episodic care needs.
Member Action Plan (MAP)
Getting Everyone Connected
Independent Health uniquely leverages data to reach members with compelling content in a targeted, highly personalized and consistent manner across multiple touch points. This includes increasing the use of standard preventive services, promoting participation in wellness activities and encouraging proactive engagement in case and disease management initiatives.
- Personalization at Scale
- Multi-Channel Communication
- Behavioral Economics Principles
- Measuring Engagement
The Independent Health RedShirt Rewards program provides incentives for members just for completing actions that can help them manage their health and wellness.
Each member in their plan is eligible to earn up to $30* in rewards each plan year when they complete healthy activities such as an annual checkup, flu shot** and more. Members can redeem their reward(s) at a wide range of participating partners, including Amazon.com, Nike, Target and more.
RedShirt Rewards Improves Member Engagement
- A total of 152,419 RedShirt Reward activities were completed in 2024.
- $1,524,200 in rewards earned for members in 2024.
Available for Commercial and Self-Funded plans. Fees may apply.
Innovation for better care
To address gaps and strains in the health care system, Independent Health is working within the system and with Independent Health members who have chronic conditions to personalize care experiences. By creating greater efficiencies and a better overall experience, we have the opportunity to deliver lower costs and better trends.
- Reducing Readmissions
- Behavioral Health
Reducing Readmissions
Individuals with multiple chronic conditions, behavioral health issues, or new diagnoses like cancer or diabetes often require significant support to navigate the health care system and avoid hospital readmissions. To address this, Independent Health funded integrated teams of Great Lakes Health System clinicians and support professionals to provide onsite care at hospitals for high-risk patients, focusing on discharge planning and 30-day follow-up care.
- 56% reduction in commercial readmissions within the first year
- Buffalo General and Millard Fillmore Suburban now have the lowest readmission rates of any hospital system in the community for Independent Health members.
Behavioral Health
Mental health issues are increasingly affecting employees’ emotional well-being, physical health, relationships and work performance. Total cost for members with a Behavioral Health medical claim is approximately 42% higher than those without.*
The Independent Health Behavioral Health Case Management program collaborates with members, providers, and support systems to ensure individuals receive appropriate care.
- Independent Health’s Behavioral Health provider network in WNY includes over 1,000 practitioners and approximately 26 facilities and hospitals.
- Teladoc® Mental Health provider network includes more than 5,400 Mental Health experts including Psychologists, Therapists and Psychiatrists.
*Independent Health Membership, 2020-2025.
For Information:
New Employers
Contact your Broker or our RedShirtsSM today (716) 631-5392 or 1-800-453-1910 select option 4.
Or email us at sales@independenthealth.com
Current Employers
Contact your Broker or Independent Health Account Manager.
Or email us at sales.administration@independenthealth.com
* $30.00 limit per eligible member (subscriber, spouse and dependents 18 years of age and older) per plan year. Rewards will be issued when Independent Health receives notification of a claim for each service, which may take up to 90 days for a provider to submit the claim(s).
**For members who do not have pharmacy coverage through Independent Health or Pharmacy Benefit Dimensions, these actions must be provided in a medical facility, such as a doctor’s office, hospital or urgent care center. Pharmacies or community centers do not qualify.
Reward restrictions apply. See Amazon.com/gc-legal. NIKE is not a participant in or sponsor of this promotion. Target is a registered trademark of Target Brands, Inc. Target is not a participating partner in or sponsor of this offer.