Medicaid Member Engagement & Preventive Outcomes, at Scale
MCO profitability relies on engaging priority populations
Medicaid MCOs operate at 2-5% net income margins so engaging high risk priority populations with preventive measures that drive ROI in < 1 year is paramount.
Pregnant tobacco users
$15k – $65k
Avg. cost of NICU per member
COPD patients
$7k+
Avg. cost of COPD exacerbation
ED visit
Pre-diabetic
overweight members
$5k – $15k
Avg. cost of diabetes management per year
1. Russell et al.; “Cost of Hospitalization for pre-term and low birth weight infants in the United States”, Pediatrics, Volume 120, Issue 1, July 2007
2. Guarascio et al.; “The clinical and economic burden of chronic obstructive pulmonary disease in the US”, Clinicoecon Outcomes Res.; 5, 235-245, June 2013
3. Ng et al.; “Medical expenditures associated with diabetes among adult Medicaid enrollees in 8 states”; CDC, Volume 15, 2018
Meaningful engagement means overcoming unique barriers
Engaging and driving outcomes for Medicaid populations requires solving for some very specific member needs and challenges which Vincere caters:
2-way texting
& calling
Up to date
contact info
Multiple touch points
in care journey
Addressing
SDOH needs
Personalized,
relevant care
Cost-effective
scaling
Vincere offers a turnkey, risk bearing solution
The Vincere health engagement platform was built from the ground up to reach the hardest to reach, low income Medicaid populations for effective disease management
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2-way SMS and calls
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Integrated clinician + bot
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Remote monitoring
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Feature phone compatible
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Automated nudges / comms
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Digital rewards
We have contracts and Master Service Agreements (MSAs) in place with:
Premier safety net hospital
Tier 1 provider network
Tier 1 provider network
*Our current geographical footprint
We started with smoking cessation for high risk populations
Vincere has built an expertise in helping low income pregnant women to quit smoking and has a proven track record of engaging low income smokers to drive exceptional outcomes.
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Smoking cessation specialists, social workers to provide personalized behavioral support
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Proprietary remote patient monitoring & instant rewards / contingency management technology
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Up to 100% fees at risk, based on quit outcomes
Vincere By Numbers
Helping pregnant smokers quit generates 7.7x ROI in 9 months
28%
Lower preterm birth risk
55%
NICU admission risk
7.73x
ROI on population >100
We have a track record of helping the most vulnerable
65%+
Medicaid
34%
Pregnant
39%
BIPOC
Our program objectively measures outcomes with low income patients
48%
quit rate
-68%
CO Reduction
61%
Engagement
90%
NPS