Health Plans
We Improve Quality And Satisfaction For Your Hard-to-Reach Members
Wider Circle is a peer-based community health organization that partners with health plans and providers to help close the last mile of healthcare for Medicare Advantage and Medicaid members.
By forming trusted groups of neighbors in a culturally-competent manner, Wider Circle restores the community support network critical for tackling the challenges in your members’ lives.
We act as a natural extension to your care coordination team, helping you improve your member engagement strategy and reach while improving key quality measures and addressing social determinants of health (SDoH) needs.
Our
Impact
$4 in savings for every $1 invested
Lower Disenrollment
Lower Inpatient Utilization
Increased Annual Wellness Visits
*Outcomes data represents results observed in past deployments; results may vary.
How It Works
Click on each step to learn about our approach
1. Cluster
Our data team analyzes Medicare and Medicaid sponsors' claims data, employing a proprietary grouping algorithm that produces clusters of members likely to form loyal groups.
2. Engage
Engagement Specialists invite members to meet other neighbors and our local culturally competent staff. They find hard-to-reach members, build trust, address gaps in care and SDoH needs and extend the reach of sponsors' care management teams into every community.
3. Recruit
In every group, Facilitators galvanize able neighbors to serve as community ambassadors who reinforce the community presence that residents know and trust.
4. Deliver
The end result is a flexible network of members who trust one another, the sponsor and their providers. Circle members stay with their sponsor, engage with preventative care and have a better member experience.
Programs
Our Programs Support Your Key Business Challenges
Member Onboarding
and Retention
Our personalized, concierge-like approach helps each individual member better understand their benefits, supporting your goals of health promotion and improving the member experience.
Gap
Closure
Our trusted delivery network supports both general and targeted gap closure for improving health outcomes and quality.
Risk
Adjustment
Our programs help to ensure the risk profiles of your members are thoroughly understood and captured to support appropriate reimbursement.
MLR
Management
Our Connect for Life Program boosts member self sufficiency and care navigation skills, and facilitates quality improvement activities, enabling better population MLR management.
Member Experience /
CAHPS
Our trusted peer-based network actively supports and solves problems for members, resulting in loyal evangelists and a way to influence increasingly weighted CAHPS scores.
SDoH and
Health Equity
SDoH needs require continuous interventions. We focus on the last mile of healthcare, so we are able to address the barriers preventing disadvantaged populations from getting the care they need and deserve.
Local Enablement
Our tailored, culturally competent programs educate and guide members on efficiently navigating networks, leveraging community resources and integrating emerging technology into their healthcare journey.
HITRUST Policies and Procedures
Wider Circle’s Connect for Life® program has achieved HITRUST CSF Certification to manage risk, improve security and privacy posture, and meet key compliance requirements.
Wider Circle has been an instrumental partner in helping us deliver on our mission to provide the power of care to everyone, one community at a time. Within the first year, we saw a 23% increase in annual wellness visits among participating Medicare Advantage patients. Plus, they are very easy to work with and highly responsive.
Our Sponsors
We are proud to serve national and regional Medicare Advantage plans, Managed Care Organizations and provider groups, including:
