Population Health Care Coordination
Population Health Program Tackles High Cost Claims and Gaps in Care
Nov 20

In support of our goals of providing quality healthcare solutions at affordable costs, edHEALTH launched an innovative population health program in the spring. Did you know that 50% of edHEALTH’s claims come from just 5% of the population? The KnovaSolutions® Clinical Prevention Service focuses on those who need the most help. KnovaSolutions’ clinical team focuses on the highest risk, highest cost employees and their families with a holistic approach to support their needs.

Privacy Protected

This program ensures privacy while using predictive modeling to identify those in need of support early in their care journey. Personal health data is secure; KnovaSolutions® doesn’t share it with member schools or edHEALTH. Additionally, they store all data consistent with Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy standards.

Potential Reduction in High Cost Claims

The program features a clinical staff that provides personalized care for high-risk, high-cost employees and covered dependents. Through phone and secure email, participants receive support for medical decisions. Information, education, and decision support helps decrease unnecessary costs and utilization.

12 Hours/Day Support Fills Gaps in Care

Patients often have questions after they leave healthcare appointments, but it’s frequently hard to reach doctors and nurses. With KnovaSolutions®, help is a phone call or email away from 8AM to 8PM. Common questions include:

  • “I don’t understand my diagnosis, can you help?”
  • “How are all of these drugs helping me?”
  • “I’m being treated for cancer and am worried about post treatment complications. Where can I get support?”
  • “My new medication is making me feel sick. What should I do?”
  • “What can I do to lose weight? My doctor isn’t being helpful.”
  • “My doctor recommends surgery for a possibly cancerous cyst. Where can I get a second opinion?”

Easy to Enroll 

Ten of our 20 member schools have enrolled in the program, or are in the process of enrolling. “KnovaSolutions® makes it easy for schools to enroll,” says edHEALTH Operations Manager Cindy Bartelson. “After a 30-minute kickoff call, KnovaSolutions® provides the school with a suggested email to send faculty and staff. From there, KnovaSolutions® does the rest.”

December 2019 edHEALTH Newsletter

Dec 18
Happy December

Find out edHEALTH news and insights in the December 2019 digital edition of our newsletter.

Continue Reading

Happy New Year Member Schools!

Jan 16
Year end wrapup

We have much to celebrate as this past year brought so much good news for edHEALTH and our member/owner schools. We now have 22 educational institutions and ...

Continue Reading

Welcome New Member Schools

Nov 20
Welcome to our New Members

Please extend a warm welcome to the following schools that are joining edHEALTH’s collaboration of colleges, universities, private and charter schools, effec...

Continue Reading

How edHEALTH’s Captive Risk Financing Options Work

Nov 22
edHEALTH's Captive Risk Management Options

Under edHEALTH’s captive, member organizations pick their own self-insured retention level based on their risk tolerance, philosophy, financial status, and e...

Continue Reading

November 2019 edHEALTH Newsletter

Nov 25
November News

Find out edHEALTH news and insights in the November 2019 digital edition of our newsletter.

Continue Reading

The ABCs of Captive Insurance

Nov 20
ABCs of Captive Insurance

Twenty-two colleges, universities, and educational institutions own Educators Health, LLC (edHEALTH), a healthcare collaborative formed to address rising hea...

Continue Reading

February 2020 edHEALTH Newsletter

Feb 19
February 2020 News

Find out edHEALTH news and insights in the February 2020 digital edition of our newsletter.

Continue Reading

edHEALTH Plan Administrators Changing Their Names in 2020

Nov 20
Company name change

Two of edHEALTH’s plan administrators are changing their names in 2020:CoreSource, our national healthcare administrator, is changing its name to Trustmark H...

Continue Reading
Top shadow

Contact Us


Contact edHEALTH today for more information.