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WellCare Meets Complex Integration Requirements for Electronic Data Corporation (EDS)

When EDS made a decision to partner with Matria, like many large companies, they had a number of health programs and benefits already in place. So in order to deliver Healthy Living Programs to EDS employees, Matria had to work closely with three major benefits consulting companies, three managed care plans and two disease management companies.

Matria wanted not only to tack its programs onto the existing benefits package but also to truly integrate with other services, offering an even stronger functionality than the sum of the parts.

An essential part of the plan required EDS’ managed care organizations (MCOs) to provide a health risk assessment (HRA) to enrolled EDS employees. Matria mapped the results of the HRA to appropriate WellCare Healthy Living Programs, enabling the delivery of a specific action plan to employees based on their individual risks and goals.

Each health plan was also required to provide a network of health advocates to support enrolled EDS employees. Matria trained the health advocates at each health plan on WellCare’s HLPs so they can encourage enrollment and use of the programs.

Additionally, Matria worked with EDS’ disease management vendors, training their nurses on how to use the WellCare HLPs. This gave nurses a valuable tool in helping individuals manage the lifestyle components of certain conditions.

Matria was able to promote other EDS health benefit offerings — such as their smoking-cessation program — directly through contextually relevant areas of WellCare’s HLPs.

EDS committed to a three-year partnership to meet their goals. While still too early to gauge ROI, enrollment in the programs has been exceptionally strong, and ongoing communications and promotional efforts have maintained a high-level of interest and awareness.

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