The 4 “E’s” Health Plans Need to Know to Improve Medication Adherence
When your plan members stop taking their medications as directed, it can have a domino effect. Disease treatment may be halted, complications may arise and a person may end up in the emergency department or needing to be admitted to the hospital. In addition to the...
A Better Engagement Approach Can Close HEDIS Gaps
Medicare Advantage plans are facing a problem—high rates of gaps in care that affect HEDIS (Healthcare Effectiveness Data and Information Set) quality measures … and ultimately revenue. The solution? Not just member engagement, but a strategic and multi-faceted...
Telehealth Services as a Patient Engagement Solution
In our digital world, information about any subject is just a few clicks or swipes away. It’s tempting for people to turn to “Dr. Google” to search for advice on health-related topics, especially when symptoms first appear or getting to a primary care physician for...
Closing the Care Gap With Engagement and HEDIS Best Practices
Quality measures and scores from the Healthcare Effectiveness Data and Information Set, or HEDIS, are driving the need for not only a comprehensive roadmap that will close gaps in care, but also for a fine-tuned engagement methodology to help health plans and...
CMS Stars Improvement: Changes Health Plans Should Know About for 2020
Do you know the state of the Stars? To improve your CMS Stars program scores, you need a firm grasp of how the program measures are changing (and not changing) from year to year. In our new infographic, we’ve gathered key shifts that Medicare Advantage and Part D...
Lessons from the 2019 Mapping the Stars Engagement Workshop
Carenet Health recently sponsored and hosted a CMS Stars engagement planning workshop for a select number of Stars program leaders from Medicare Advantage plans around the nation. The “Mapping the Stars” workshop was held in San Antonio, where participants gathered to...
Next-Level Nurse Advice Line Delivers Member Satisfaction and 3:1 ROI
Customization can transform a health plan’s nurse advice line from a check-the-box kind of hotline service into a personalized, telehealth care delivery solution that truly elevates member experience and reduces costs. Using data for heightened engagement...