Put Your Members at the Center

Target and engage members to close care gaps, boost star ratings, reduce medical spend and promote healthier living.

Encourage members to complete a Pre-CAHPS survey, then engage members in the best wellness or care program to improve CAHPS scores.

Activate members to schedule and complete annual wellness visit to receive appropriate risk adjustment, lower total medical spend and help them live healthier lives.

Nudge members to obtain comprehensive medication review and adhere to prescribed medications to improve health outcomes, enhance Part D star ratings and lower total medical spend.

Motivate members to take the steps needed to maintain therapy compliance and improve quality of life, while increasing your star ratings and quality incentives.

Targeting and activating members to enroll in the right care management programs, to improve member health and lower total medical spend.

Effectively enroll and keep member engaged in various wellness and prevention programs to sustain member health and reduce overall medical costs.

Encourage members to perform various health actions, such as initial health assessment for Medicaid members, to ensure appropriate risk adjustment and help members live healthier lives.

Recognizing total healthcare costs are a function of both physical and behavioral health, strategically engage members to enroll in suitable behavioral health programs, fostering healthier, happier lives and reducing overall medical expenses.

Bridge gaps in care by layering clinical with social determinants of health (SDOH) to support members who might benefit from housing, nutrition, transportation or other assistance to stay engaged with their health.

Help new or returning members understand how the plan supports their care journey and what is available to them from the get-go to improve member satisfaction and NPS scores.

Identify and engage prospective members to enroll in health plan through the most appropriate, cost-effective channel.

Target and engage commercial members early-on to nurture their transition into Medicare.

Nudge members to sign up and use appropriate digital channels for a better member experience and lower administrative costs.

Encourage members to complete member satisfaction assessments and take appropriate actions towards improving member satisfaction.