Becoming a 5-Star Medicare Advantage or Part D Plan Takes 5-Star Member Engagement
Medicare Advantage (MA) health plans and stand-alone Part D plans (PDPs) are increasingly focused on the Centers for Medicare & Medicaid Services (CMS) Stars system. Plan leaders want that 5-Star status and the per member per month bonus revenue and other benefits...
Beyond a Healthcare Call Center: A Look at Modern Clinical and Engagement Support
Payers, providers and other healthcare partners are all focused on finding better ways to engage with patients to enhance quality of care, improve outcomes and lower overall costs. But doing so in the current healthcare ecosystem means quickly adapting a new way of...
The Benefits of a High-Performing Nurse Advice Line
Many health plans and some healthcare providers offer a nurse advice line to support patients and members by assessing and triaging symptoms, offering care advice and referrals, and educating members about their health. But what if the power of a nurse advice line...
Healthcare Consumerism: How Healthcare Is Evolving to Meet Consumer Demands
Healthcare consumerism may feel like a current buzzword, but healthcare has been chasing the idea of value-based, consumer-centric care for more than 10 years. It was 2008 when the Centers for Medicare & Medicaid Services (CMS) started to emphasize a focus on...
In Times of Crisis, Carenet Teams Never Fail to Step Up
A message from Mick Mazour, Carenet President. When a disaster like Hurricane Michael strikes, I go to sleep at night knowing our teams are prepared—and honored—to handle just about anything thrown our way, on behalf of the clients who trust us to do just that. As the...
Raising CAHPS Scores When Teams Are Lean and Budgets Are Tight
Health plans are constantly seeking ways to raise CAHPS satisfaction scores and address any member concerns before they escalate. In a perfect world, plans can orchestrate comprehensive, one-on-one engagement campaigns that monitor member satisfaction and impact CAHPS...
Complimentary Healthcare Engagement Audit Worksheet Available
As health plans focus more and more on healthcare engagement and coordinating every member touchpoint (whether inbound or outbound) into one holistic member experience, auditing your current engagement efforts becomes key. To improve coordination, you have to assess...