Maestro Health’s COVID-19 Rapid Response Strategy

How we helped avoid over $100,000 in COVID-related healthcare costs.

Maestro Health developed a data-driven response strategy to the COVID-19 pandemic in early March, 2020, resulting in over $100,000 of avoided healthcare costs for 7 of our clients. Our clinical, operations and client experience teams worked together closely to help keep our clients and their members informed and supported. Using our proprietary claims review platform and review process to identify at-risk members, we developed a rapid-response identification and outreach strategy so we could act quickly while keeping our focus on our clients.

Here’s a look at what we did:

• Implemented proactive outreach to keep members and clients informed about the virus with information from the CDC and WHO.
• Leveraged in-house and industry data to flag high-risk members for immediate outreach.
• Enrolled high-risk COVID-19 members into care management programs to help avoid unnecessary follow-up care.

One of the benefits of having and in-house clinical care management as part of your self-funded solution is that they’re integrated with your data. This means catching issues earlier on, closer collaboration with other internal teams and the ability to connect members with the right care at the right time. Because we were able to work directly with these members, we helped keep costs low for the business while improving health outcomes for the member. We call that a win-win situation.