What is personalized care navigation? - Personify Health (2024)

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What is personalized care navigation? - Personify Health (4)

Let’s be real – the healthcare system is broken.

Costs are out of control, and trying to navigate the system is more confusing than ever for you and your employees.

With U.S. healthcare costs projected to increase by 7-8% in 2025, the pressure is on for employers like you to find solutions that improve health outcomes while driving costs down.

The pressure is on your employees as well.

In a recent OnePoll survey, 56% of people reported feeling lost when trying to understand their insurance. As a result, 59% delay medical appointments, and 53% postpone prescriptions, leading to worse health outcomes and higher costs for both individuals and their families.

Your people are struggling, and they need your support.

At Personify Health, we’re not here to play by the old rules—getting your employees the care they deserve while keeping costs in check shouldn’t feel like a losing battle.

Meet your new healthcare navigator

We’re on a mission to shake up the healthcare industry.

That’s why we’ve developed personalized care navigation, a suite of solutions that simplify healthcare, empower employees to take control of their health, and help employers keep costs down.

Our personalized navigation solution suite guides your employees through their healthcare journey, ensuring they get the right care at the right time—without the unnecessary steps and confusion.

For employers, this means cutting costs without sacrificing the quality of your benefits.

For employees, this means a clear place to go for benefits and health support they can trust.

It’s healthcare, without detours.

Without complexity.

Without jargon.

Without frustration.

It’s healthcare, simplified.

Defining personalized care navigation

Dreaming of a painless health management process? We did too—so we designed one.

We saw an opportunity to transform healthcare from a fragmented system into a seamless, connected experience. With advanced clinical expertise with innovative technology, we’ve built a truly end-to-end healthcare solution centered around your employees.

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People shouldn’t have to piece together their health experience.

This is why at the heart of our personalized care navigation is the perfect blend of technology and human support.

The combination of smart digital tools with compassionate, one-on-one guidance from Personal Health Advocates who include clinicians, social workers, and health experts ensures that, no matter how complex their health needs are, your employees never have to navigate their healthcare journey alone.

We streamline the process by integrating benefits access, navigation, and care coordination into one unified solution. Employees no longer have to deal with disconnected services—they get the right care at the right time, with expert guidance every step of the way.

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Our four-part solution to simpler, more cost-effective healthcare

We’ve broken down our care navigation solution into four core offerings, each designed to create a seamless, empowering experience that helps your employees take control of their health while keeping costs down for your organization.

1. Benefits navigation: Your digital front door to health

Imagine your entire company’s health benefits and resources in one place, including your global population. Our Core Navigation solution offers personalized recommendations, ensuring employees, regardless of where they work, get the benefits they need when they need them. With Single Sign-On (SSO) and API integrations, accessing benefits has never been easier.

2. Care navigation: Guiding you through your health journey

Healthcare shouldn’t be confusing. Our Essential Care Navigation tools help make sense of healthcare plans, from understanding deductibles to finding providers. We integrate claims data to give a full picture of each member’s healthcare journey—ensuring they get the support they need when they need it. This solution wraps around existing carrier(s) to make employer adoption easier.

3. Advocacy: Personalized support when it matters most

Healthcare can be overwhelming, but your employees won’t face it alone. Our Advocacy service provides one-on-one support, helping with everything from benefits questions to complex medical issues. This human touch ensures employees know their options, make confident healthcare decisions, and help understand claims and billing so employees never overpay for care.

4. Care management: Specialized support for complex needs

Complete Care Navigation goes further to offer deeper support for those with complex health conditions by offering our Care Management services to provide intensive, personalized support. A dedicated team of clinicians coordinates every aspect of the employee’s health, ensuring they receive the comprehensive care they deserve. This multidisciplinary approach improves outcomes and reduces stress.

Engagement is the key to better health—and lower costs

For us, engagement isn’t just a nice thing to have – it’s our foundation.

In fact, 51% of our members engage with our platform every month, completing 6+ meaningful actions per visit.

This is so powerful because when employees consistently engage with their healthcare, they make smarter decisions, stay on top of preventive care, and manage chronic conditions more effectively. That’s why our approach is designed to encourage ongoing, proactive engagement which drives health improvement across the entire population.

Here’s are some of the ways we’re doing that:

  • Better Use of In-Network Providers: Proactive guidance means fewer out-of-network claims, lowering costs for both employees and employers.
  • Year-Round Engagement: Unlike traditional platforms, our app drives consistent engagement all year long by integrating benefits management, healthcare navigation, and wellness activities.
  • Personalized Recommendations: Tailored insights based on individual health data encourage preventive care and wellness activities—whether it’s scheduling screenings or suggesting wellness programs.
  • Smarter Decisions: Frequent engagement helps employees better understand their benefits, leading to informed decisions about providers, preventive care, and managing chronic conditions—all of which reduce healthcare costs.

Results that speak for themselves

Our navigation solution delivers real, measurable results for both employers and employees:

  • 23% more preventive visits: Employees are more likely to schedule preventive care, reducing long-term costs and keeping your workforce healthier.
  • 38% lower pharmacy costs: Employees find more affordable medication options, improving adherence to treatments and leading to better health outcomes.
  • 27% improvement in benefits navigation: Simplifying healthcare leads to a more satisfying benefits experience, with 17% higher member satisfaction and 14% better access to care.

Download our third-party studies to see the data behind these results and learn how we’re driving meaningful cost savings for employers across various industries.

  • Wakely Market Comparison Analysis: Keep health up and healthcare expenses down
  • Merative Cost Savings Analysis: Wellbeing that works

The path to a healthier workforce and lower costs starts here.

As Dr. Batman said in a recent LinkedIn Live on GLP-1s, “Healthy, resilient businesses need healthy, resilient employees”.

The key to healthy and resilient businesses and employees lies in personalized, connected care navigation.

Ready to take your employee benefits and care from complexity and confusion to clarity and savings in one destination?

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By implementing an integrated solution, like Personify Health’s personalized care navigation you’ll be able to empower your employees to take control of their healthcare journey—boosting employee health while cutting costs for your organization!

For additional insights and resources on improving health outcomes and reducing costs, explore our resources below:

  • Blog: Simplifying Healthcare: Boosting Productivity Through Better Benefits Navigation
  • To learn more about Navigation & Advocacy, visit our solutions page.
  • Care Navigation toolkit

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