Measure-Level Solutions
Every member is different. So is every measure. Our Medicare member engagement platform leverages real-time intelligence signals, AI and advanced analytics and built-in Stars measure logic to create individualized outreach and coordinated care that move the member to the next best action.
How it Works
We know that each member’s health is constantly changing. Rather than static pre-defined member journeys, our Medicare member engagement platform automatically prioritizing the right measure, with each member’s clinical status, and the right behavioral intervention and message to ensure the most effective action is taken with quality improvement in mind.
Built with real-time signals that combine to create a precise profile of each member. The platform adjusts with the member’s changing needs, creating infinite journeys based on pre-approved messages and channels. This approach drives measurable improvements in quality, Stars performance and your member’s experience. Which means you can tie every campaign to Stars, HEDIS, and CAHPS metrics in real time.
Clinical signals identify emerging gaps across HEDIS, medication adherence, preventative care and disease management with an overlay of Stars measure logic to help prioritize and coordinate outreach not only based on the complexity of a single measure, but across multiple measures.
Situational signals provide context for what is happening around the individual member, improving the efficiency of outreach.
Behavioral signals uncover the underlying motivation for the member and provide additional context for why the ember hasn’t taken action.
With optimized omni-channel outreach and alignment across care management, the systems works to reduce member abrasion and close gaps in care, learning continuously to improve interventions.
Our Competitive Edge
Unlike static risk scores or one-size-fits-all segments, our member profiles continuously learn and evolve from claims, interactions, and behavioral cues predicting who’s ready to act and why. This predictive precision lets you deploy the right message, at the right time, through the right channel, driving engagement rates that traditional approaches simply can’t match.
One Platform. Real-Time Individualization.
An end-to-end decision and activation engine that delivers personalized, behaviorally-informed journeys across all member touchpoints.
Intelligent Signals
Continuously profiles and updates each member’s clinical situation, motivation, readiness, and barriers.
Real-Time Decisioning
Determines the best message, timing, and channel to activate member action.
Personalized Journeys
Dynamically tailors engagement paths aligned to specific CMS measures.
Execution & Analytics
Offers out-of-the-box campaign deployment and real-time tracking of outcomes.
