Individual Outreach. Quality Outcomes.
Improve your Star Ratings with an individualized member engagement platform that bridges real-time clinical measure logic, early situational and behavioral indicators and AI-assisted prioritization to help you not only address, but anticipate, member barriers.
The Member Engagement Platform Featured on BrightSpots in Healthcare
Our Medicare member engagement platform is designed to address the complex evolution of Stars measures. As these measures shift away from administrative mechanics and toward clinical outcomes, pharmacy performance, and CAHPS, plans need to rethink how to prioritize, engage, and translate insight into action. Every member is different. So is every measure. We leverage real-time alerts, AI and advanced analytics and Stars measure logic to create individualized outreach and coordinated care that move the member to next best action. The nation’s largest health plans have achieved measurable results in both Star ratings and clinical outcomes using our solutions. Missed the episode? Watch it here.
Solutions
One Platform, Real Impact Across All Measures
Drive stronger quality results, consistently.
Member Experience
MedOrion helps improve CAHPS ratings by aligning outreach with each member’s preferred tone, timing, and channel. By removing friction and building trust, our platform reduces communication fatigue and ensures members feel seen, supported, and valued.
HEDIS | Clinical Quality
MedOrion helps improve Star Ratings and close care gaps faster by reaching the right members with the right message at the right time. Plans reduce wasted effort and drive measurable gains across key preventive and chronic condition measures.
Pharmacy
MedOrion helps drive stronger Part D performance by increasing medication adherence across key measures. Health plans improve refill rates, reduce abandonment, and raise adherence thresholds—leading to higher Star Ratings and more efficient pharmacy engagement.
Risk Adjustment
MedOrion helps Improve RAF accuracy and protect revenue by engaging members when they’re most likely to complete risk-relevant encounters. Health plans increase condition capture, reduce missed opportunities, and make better use of in-home, PCP, and vendor-led programs—without increasing burden on provider or outreach teams.
Quality Results.
MedOrion is working for national and regional health plans managing millions of members, one member at a time. Join those that have already seen the impact of AI-assisted, individualized outreach.
Proven Results
Better Technology. Better Care. Better Ratings.
Tailored, scalable interventions that deliver significant impact across multiple quality measures
2-Star
2-Star
15%
Resources
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