Preventive screenings save lives—yet millions of eligible adults still miss them each year. For health plans, this gap represents more than delayed care: it’s a missed opportunity to improve outcomes, reduce avoidable costs, and strengthen member trust. At Evernorth, we help close that gap by combining advanced analytics, coordinated outreach, and whole‑person support that connects members to the preventive care they need.
A member’s story: Turning prevention into action
When a 59‑year‑old member—let’s call her Chantal*—fell behind on her recommended mammogram and colon cancer screening, she wasn’t alone. Many members struggle to navigate benefits, schedule appointments, or understand next steps. But with Evernorth’s integrated preventive care outreach, Chantal didn’t have to figure it out by herself.
Proactive support that removes barriers
Evernorth’s cross‑solution capabilities bring together data intelligence, personalized communication, and coordinated care navigation. For members like Chantal, this means:
- Identifying gaps early through predictive insights
- Reaching out directly to explain no‑cost screening options
- Coordinating next steps—from scheduling appointments to closing referral loops
- Connecting members to in‑network care at locations and times that fit their lives
This holistic approach transforms preventive care from something members intend to do into something they actually complete.
The value of preventive health screenings for health plans
When members follow through on recommended screenings, the impact is immediate and meaningful:
- Earlier detection leads to better clinical outcomes
- Avoided late‑stage treatment reduces overall cost of care
- Member experience improves through simplified navigation
- Quality metrics and STARs performance strengthen
Even closing one preventive care gap—like Chantal’s mammogram—can prevent disease progression and reduce substantial downstream medical costs. For health plans, it’s a tangible return on investment in member engagement.
Delivering the promise of prevention
Evernorth partners with health plans to turn population insights into personalized action. Whether through direct outreach, in‑home test facilitation, or coordination across providers, we help ensure more members complete essential screenings—leading to healthier populations and more predictable clinical outcomes.
Chantal’s experience is one example of how proactive, compassionate support can move members from uncertainty to completed care. When barriers come down, prevention finally delivers on its full potential.
*Name changed for privacy.
This article was created with the assistance of AI tools. It was reviewed, edited, and fact-checked by Evernorth’s editorial team and subject matter experts.
When it comes to preventive care outreach, EviCore partners with health plans to make the process as smooth and easy as possible. As an enhancement to its specialized utilization management solutions, EviCore’s Preventive Care Outreach program can help health plans improve health outcomes, lower costs and increase CMS scores.
