Case Study: EPIC Management achieves lower ED and inpatient utilization with Wellth

EPIC study shows Wellth lowers ED and inpatient utilization for various chronic disease populations

EPIC Management, a provider group shouldering full risk for its Medicare Advantage populations, faced a challenge in engaging patients, particularly those in remote communities, in care plan adherence programs for chronic conditions like diabetes and CHF. This lack of engagement led to lower disease control and higher acuity. EPIC turned to vendor Wellth and its mobile app, which uses principles of behavioral economics to improve adherence.

Wellth implemented a solution where patients used its app for daily medication check-ins, submitting photos verified by AI. Members were motivated by a financial incentive that leveraged loss aversion, penalizing missed days. This approach achieved a 94% average daily adherence rate. The program resulted in significant measurable impacts: a 38% reduction in ED utilization, a 22% reduction in inpatient utilization, a 68% reduction in bed days, and, for diabetic patients, an average HbA1c reduction of 0.61.

EPIC Management

Carolina

Patient