Conifer Health Solutions
18 Case Studies
A Conifer Health Solutions Case Study
Wisconsin Electrical Employees Benefit Fund, headquartered in Madison, Wisconsin, needed a new way to reduce healthcare costs and improve utilization among its more than 10,000 members and dependents, especially high-cost claimants, after its previous medical management vendor removed Utilization Management (UM) from its offerings. The fund turned to Conifer Health Solutions for a robust UM solution, along with member education, advocacy, and preventive care support through its Personal Health Nurse and Utilization Management programs.
Conifer Health Solutions implemented a program that paired risk stratification using medical, pharmacy, and metabolic data with proactive outreach from Personal Health Nurses to every eligible member. The result was 100% member engagement in 2021 and again in Q1 and Q2 of 2022, up from a 65% goal, along with strong member satisfaction, improved risk-factor management, and avoided high-cost care that translated into measurable savings for Wisconsin Electrical.
Becky Drews
Senior Consultant