Elevance Health is strengthening chronic care management by creating personalized and connected healthcare experiences for people across the country. The company uses data, digital tools, and proactive support to help individuals better understand their care and manage chronic conditions effectively. Across the United States, three out of four adults live with at least one chronic condition. Therefore, Elevance Health focuses on simplifying healthcare journeys through improved coordination and personalized services. Elevance Health is improving the chronic care management experience through its health plans and healthcare services business, Carelon. The company combines advanced data insights with digital solutions to connect members with the right support at the right time.
“Managing a chronic condition can be challenging, especially when care feels fragmented or difficult to navigate,” said Shantanu Agrawal, MD, Chief Health Officer at Elevance Health. “By combining data-driven insights with more personalized, proactive support, we can help people feel more confident in their care, stay engaged, and take steps earlier to support their long-term health.”
Elevance Health Uses Data-Driven Care Engagement Programs
One example is Proactive Member Engagement (PME), an enterprise-wide initiative that combines medical, pharmacy, behavioral, and social data. The program identifies healthcare gaps and predicts member needs before they become critical. Through advanced analytics, PME provides personalized outreach using preferred communication channels. These channels include text messages, phone calls, and emails. The program helps members take action without managing disconnected healthcare communications. PME operates at scale with more than 12 million interactions.
The resulting program supports a coordinated “one member, one experience” approach. It also encourages wellness visits, improves medication adherence, and supports better health outcomes. Members receive tools to monitor symptoms, access educational resources, and communicate with healthcare professionals. The service focuses on proactive engagement through regular follow-ups and 24/7 nurse support. Therefore, members can better manage treatment plans, understand side effects, and make informed healthcare decisions. By combining real-time insights with ongoing guidance, Concierge Care helps reduce avoidable emergency room visits and hospitalizations.
Digital Health Solutions Support Personalized Patient Experiences
Elevance Health also enhances chronic care management through Sydney Health, its digital healthcare platform. The platform delivers personalized and real-time guidance directly to health plan members. Sydney Health uses information from member benefits, healthcare history, and current health requirements. Therefore, it provides relevant recommendations and next steps for managing conditions. The platform helps individuals schedule appointments through Find Care, complete screenings, and follow important health actions. Moreover, it presents healthcare information through simple formats, guided prompts, and reminders. As a result, Sydney Health helps transform complex care plans into practical steps. This approach improves engagement and supports confident healthcare decision-making.
Elevance Health is also introducing Total Movement Care (TMC), a new musculoskeletal (MSK) care experience. The program connects members with appropriate care earlier in their healthcare journey. TMC provides access to MSK-trained clinicians, virtual-first physical therapy, and guided navigation to in-network specialists when required. Initially, the program is available to a selected group of members within affiliated fully insured health plans. By simplifying healthcare access and increasing patient engagement, Elevance Health helps individuals make confident decisions, maintain care routines, and improve their everyday health management.
Explore Health Tech Insiders for the latest medical innovations and reliable strategic insights driving the future of technology-driven healthcare transformation.
News Source: Businesswire.com
