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A step-by-step journey to full employment for Medicaid members

Pathways helps members take the next step on their employment pathway. The solution includes the Pathway Analytics Engine, Pathway Challenges, Health Coaching Certification, and Job Placement Services. This innovative solution bridges the Medicaid employment gap.

Solution Results

Challenges Completed1

Challenges Completed

Total Cost of Care Savings2

Total Cost of Care Savings

Average PMPM Savings3

Average PMPM Savings

1Completed wellness challenges for a population of approx. 700K Medicaid members over six years.

2Total cost of care savings for wellness challenge participants from a Medicaid population of approx. 700K over five years.

3Average PMPM cost of care savings for wellness challenge participants from a Medicaid population of approx. 700K over five years.

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Pathway challenge success demonstrates a member’s readiness to change

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The Pathways Analytic Engine identifies members likely to benefit from the program. Invited Pathway members complete two Pathway Challenges to demonstrate their health commitment and to build confidence. After challenge completion, participants are eligible to receive doula, diabetes, or behavioral health coaching certification and job experience. Pathway participants are eligible to be hired by Finity and other health partners.

Pathways Components

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Analytics

The Pathways analytics engine selects candidates to participate in the Pathways program.

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Challenge Apps

Participants complete 2 wellness challenges to demonstrate their readiness to change.

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Training

Participants gain work experience as wellness challenge health coaches for 3 months.

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Certification

Participants become a certified health coach in pregnancy, diabetes, or behavioral health.

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Employment

Certified health coaches are eligible for employment with Finity and health plans.

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Reporting

Health Plans and state Medicaid agencies access reports on their administrator portals.