Our impact:
Measurable + meaningful

Second opinion

Client

$95 billion global aerospace company

Problem

Second-opinion benefits were being utilized by employees with common, everyday ailments rather than those likely to require high-cost care for conditions such as back pain and cancer. This was caused by an inability to target sub-populations likely headed for major treatment who could benefit from a second opinion.

Goal

Increase second-opinion utilization for members at high risk for back, knee, hip, and neck surgeries, decreasing the expense of high-cost surgeries when better options exist.

Our approach

Generate target member list using high-volume claims data and predictive algorithms with engagement messaging guided by behavioral science.

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Second-Opinion Utilization

Using predictive modeling and individualized messaging delivered at the relevant time, Evive delivered higher second-opinion utilization and cost savings. Member satisfaction also increased due to minimized costs and clear, tailored messaging vs. generic communications.

Outcome

59

members consulted 2nd-opinion service for musculoskeletal conditions

$2.1 million

avoided in unnecessary treatments*

10

members consulted 2nd-opinion service for prostate & breast cancers

$360,000

avoided in unnecessary treatments*

*Savings estimates provided by 2nd-opinion vendor
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