Case Study: Improving Utilization for a 500,000-Member Medicaid Plan
A leading Medicaid carrier partnered with Teledentistry.com to address a high non-utilization rate among its 500,000 members. With 55% of members not accessing preventive or restorative care, the plan faced rising ER spend and missed opportunities for early intervention.
Executive Summary
Client: Medicaid carrier with 500,000 members
Non-Utilizers: 275,000 members
Challenge: Increase utilization by 3%
Solution
Inbound: 24/7 virtual consultations for non-traumatic dental emergencies
Outbound: MESH platform outreach, assessments & guided navigation to dental homes
Results
30,000+ total assessments and consultations
10%+ utilization achieved in the previously non-utilizing population
73% of members reported experiencing pain or discomfort
55% were referred to their primary dentist
66% reported they would have visited the ER without virtual care
SMS reminders used to support appointment scheduling and follow-up