Case Studies: Proven Impact on PPEs & Preventive Care Gaps

A Texas Medicaid managed care plan identified a large number of members using the emergency room for non-emergent conditions such as upper respiratory infections, urinary tract infections, and minor injuries.

UrgentCare2Go implemented a hybrid house call + telemedicine diversion program for members flagged as high ER utilizers. Members were educated on alternative access points and enrolled in our 24/7 service.

• 38% reduction in non-emergent ED visits among enrolled members
• Average cost savings: $842 per diverted ER encounter
• Member satisfaction: 94% reported they would choose UrgentCare2Go again instead of the ER

High inpatient admissions for asthma and diabetes complications were driving medical loss ratio (MLR) up for a regional Medicaid plan.

UrgentCare2Go deployed mobile providers and respiratory specialists to intervene early, combined with remote monitoring for diabetic patients. Patients received house call follow-ups and personalized care plans.

• 26% decrease in asthma-related admissions
• 31% fewer diabetes-related hospitalizations compared to baseline
• Estimated $1.2M in savings for every 1,000 high-risk members

Hospital readmission rates within 30 days of discharge were above state benchmarks for CHF, COPD, and pneumonia patients.

• In-home visit within 48–72 hours
• Medication reconciliation and education
• Telehealth check-ins at 1 week and 2 weeks
• Coordination with primary care

• 42% reduction in 30-day readmissions for targeted conditions
• Improved HEDIS follow-up rates for post-discharge care
• Increased patient engagement with their PCPs for ongoing management

A Medicare Advantage plan faced declining STAR ratings due to missed preventive measures (cancer screenings, immunizations, diabetes testing).

UrgentCare2Go integrated gap closure visits into our house call model. Nurses and providers delivered screenings, immunizations, and labs during home encounters, with direct data feeds back to the plan's quality team.

• +21% increase in colorectal cancer screening compliance
• +18% increase in flu vaccination rates
• +24% increase in diabetes patients completing HbA1c testing
• Plan's STAR rating improved in 3 major HEDIS categories within 12 months

An employer group within a Medicaid plan had high absenteeism tied to avoidable urgent care and ER visits.

UrgentCare2Go rolled out on-site and at-home care access, plus mobile vaccination clinics.

• 30% fewer ER visits among covered employees
• Significant productivity gains reported by employer (2 fewer sick days per employee)
• Positive ROI for the payer and employer group