Medicare Member Engagement Approach Delivers $37.5M in Revenue

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One of the country’s most prominent Medicare Advantage plans turned to Carenet for help with increasing member adherence to HEDIS®-related health measures. Note: HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

In addition to closing gaps in care to improve clinical outcomes and reduce costs, the client wanted to elevate the member experience, plan performance and ultimately its Star rating.

Experts at member engagement and activation, Carenet leveraged its proven approach to proactive, personalized HEDIS outreach. As a result, we closed more than 8,300 care gaps and boosted the plan’s Star rating the first year, and closed 16,847 care gaps the following year.

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