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We’ve designed our member support model as administrative advocacy paired with clinical execution. Here’s how the pieces fit together.

Boon Champions Provides Administrative Advocacy

Our Boon Champions team provides front-door support with benefits guidance, service issue resolution, member education, removing friction, and helping members engage early when they need assistance. (Learn more about Boon Champions: Your Dedicated Member Concierge Service.)

Precision Care Navigation Provides Clinical Execution

When a member’s need moves beyond basic questions, Precision Care Navigation takes over with provider selection strategy, medical record coordination, clinical appropriateness guardrails and oversight, bundled episode coordination, and end-to-end scheduling and transfer management.

The handoff happens when a member’s need moves from understanding and accessing benefits into actively directing and coordinating a high-impact clinical episode. It’s seamless and member-focused: employees receive expert support tailored to their situation without needing to know which team they’re working with.

Overcoming the Biggest Barrier to Engagement

The most significant barrier to getting full value from Precision Care Navigation centers on timing and member engagement.

Late Engagement
Members often contact us after they’ve already scheduled care at a high-cost facility, limiting our ability to redirect them to better options. We close this gap by identifying opportunities earlier, through referrals, precertification signals, claims intelligence, and provider outreach, so members hear from us before decisions are locked in.

Weak Financial Incentives
Employers offer navigation but don’t always design benefits to reward members for using it. We help employers build benefit tiers with reduced out-of-pocket costs for members who use Precision Care Navigation, creating a clear financial reason to engage.

Unclear Communication
Members sometimes assume navigation is gatekeeping rather than advocacy, so they avoid it. We fix this with plain language: “We’re here to help you get great care and avoid or minimize your out-of-pocket costs.”

Positioning Precision Care Navigation to Your Employees

How you position Precision Care Navigation directly impacts whether employees will use it. The strongest message is simple: “This is a nurse-led, VIP-level concierge service designed to help you get the best care.” Position it like advocacy and deliver it like advocacy, and engagement follows naturally. When it works the way it’s designed to, members get the right care, in the right setting, with the right provider, at the right price.

Precision Care Navigation as a Force Multiplier for HPNs

One critical connection many employers miss: Precision Care Navigation is a force multiplier for High-Performance Networks. You can build the best provider network in the market, but networks don’t steer themselves. Without active navigation, members default to familiar, convenient, or heavily advertised providers regardless of cost or quality. (Learn more about High-Performance Networks: Moving Beyond the Discount Myth.)

Navigation delivers the most value when it’s built into that network strategy from the start, upstream of high-cost claims rather than downstream of them. For catastrophic spending in areas like cardiac care, oncology, chronic kidney disease complications, high-risk maternity, or complex pediatric cases, waiting until claims hit is too late. The pathway has to start early, through proactive outreach, early intervention programs, and care coordination that begins at diagnosis. That’s when Precision Care Navigation becomes more than a cost-saving tool. It becomes a comprehensive care management strategy.

Making Precision Care Navigation Work for Your Plan

Precision Care Navigation is a fundamental shift from reactive claims processing to proactive care advocacy. It gives employers a proven pathway to control healthcare costs without sacrificing quality, and gives members the expert advocacy they need to navigate complex healthcare decisions with confidence.

Ready to learn how Precision Care Navigation can transform your plan’s performance? Contact Boon-Chapman to discuss your specific needs and discover how nurse-led advocacy can deliver measurable results for your organization.

This article is part of our “Build Smarter Health Plans” series. Read How Precision Care Navigation Delivers Better Outcomes and High-Performance Networks: Moving Beyond the Discount Myth to learn how we create comprehensive support for employers and members.

At Boon-Chapman, exceptional service is central to who we are. With over 60 years of experience in healthcare administration, we’ve built our reputation on integrity, innovation, and putting our members’ best interests first.