From Claims to Care: How CareTechr Enabled Proactive Intervention?

Detect Risk Early, Intervene and Reduce Claims

A leading health insurance company enrolled members into CareTechr’s platform distributing preventive health monitoring plan using Care Ring, shifting focus from reactive claims to proactive care.

CareTechr’s Platform continuously tracked vitals and lifestyle patterns at home, identifying early signs of deviations.

Mr. Sam – a 38-year-old user showed consistently abnormal heart readings, poor sleep quality and cycle over time— showing early signs of potential poor life style disease which might lead to potential sleep apnoea and heart disease at early age.

To avoid these risks, immediate alerts were generated for irregular vital readings as part of Insurance company’s plan and benefit scheme provided to consumer,leading to timely action by helping him to motivate for a lifestyle change. He started working on completing his health goals (activity ring) set up by his doctor in Caretechr’s platform for steps, sleep etc. As soon as he started closing more and more activity rings insurance company motivated him through discounts on premiums as reward.

Outcome:

For Beneficiaries: benefit through better recovery, early care, and incentives like claim discounts for meeting daily health goals, improving engagement and adherence.

For insurance company: this led to fewer hospitalizations, lower readmission, lower claim costs, improved retention, and a value addition for stronger customer base.

Finally a win -win situation for both

CareTechr in action:
Detect → Alert → AI Call → Motivate→ Lifestyle change→ Preventive Care