A national Medicare Advantage plan was managing millions of members across multiple states with fragmented engagement programs and rising pressure on Star ratings. What they needed was a single partner who could unify outreach across the full member lifecycle and prove the ROI. What they got was $52M in annual financial impact, a 3:1 return, and more than $700M in revenue over the life of the partnership.
3:1
01
Enterprise engagement fuels member loyalty
A coordinated, whole-person engagement strategy strengthened member relationships while improving satisfaction, Star ratings, and long-term loyalty.
02
Personalized outreach drives measurable ROI
Multi-touch engagement across onboarding, care gaps, wellness, and medication adherence delivered $52M annually and a 3:1 ROI.
03
Shared data powers smarter growth
Real-time member data and enterprise-wide learning improved engagement execution, expanded reach, and generated more than $700M in lifetime revenue.
The Medicare Advantage plan needed to improve Star ratings and HEDIS scores while delivering a member experience that fostered long-term loyalty and satisfaction. Serving millions of members across multiple states created increasing operational complexity, and fragmented engagement efforts were limiting performance.
The organization required a partner capable of unifying engagement programs and establishing a coordinated, enterprise-wide approach that strengthened relationships and improved overall engagement management.
Carenet partnered with the health plan to deliver a connected, enterprise-wide engagement approach that unified outreach across programs and enabled more consistent, personalized member interactions. The solution focused on four core success factors that worked together to eliminate silos and strengthen engagement effectiveness.
Carenet improved data integration to support a more seamless and personalized member experience. Outreach teams worked directly within the plan’s existing data and technology ecosystem, including care management and rewards platforms. Real-time access to member data enabled teams to address multiple needs within a single interaction, helping members feel recognized and understood.
02
A shared reporting dashboard provided clear visibility into performance across engagement programs. This transparency gave plan leaders confidence that the enterprise-wide approach was working as intended. Performance-based contracts further reinforced accountability and alignment between teams.
03
Engagement teams were trained to align with the plan’s culture, population, technology, and programs. Interactions were continuously monitored to ensure service excellence and maintain a consistent, high-quality member experience.
04
Enterprise-Wide Programs and Shared Learning
By supporting multiple engagement programs, Carenet helped bring previously siloed efforts together into a coordinated operating model. Learnings from individual programs were applied across initiatives, giving both teams a clearer, enterprise-level view of the end-to-end member experience.
Enterprise Engagement Drives Member Loyalty and $700M in Revenue
See the program model behind the 95% satisfaction score.
See the full portrait of partnership, the four success factors in detail, and the program-level data behind $700M in lifetime revenue. No form. No gate.
