Most consumer loyalty programs—think Starbucks, Delta and American Express—reward their best, most engaged customers. The frequent fliers. The twice-daily mocha drinkers. The big spenders. For these brands, 20 percent of customers drive 80 percent of revenue, so it...
Helping AvMed Health Plans improve quality by activating the unengaged
AvMed is one of Florida’s oldest and largest not-for-profit health plans, serving approximately 230,000 members across 30 counties. Since 2014, AvMed Medicare has received a 4-Star (or higher) overall quality rating, demonstrating their ongoing commitment...READ MORE
5 proven strategies for boosting quality and satisfaction by year-end
We’re over halfway through 2019—how are you tracking against your quality and satisfaction goals? If you’re confident about your in-year data, that’s great! However, you won’t know until October where the cutpoints for each measure are going to land, or how you performed...READ MORE
How NovuHealth helped 1 health plan significantly improve their Mom & Baby Medicaid engagement
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO) in Houston that serves 400,000 members across Southeast Texas—many of whom are Medicaid-eligible pregnant women...READ MORE
The quality paradox: Improving performance by motivating the unengaged
The benefits of integrating risk & quality functions within health plans
Forward-thinking plans are integrating their risk adjustment and quality functions—is your plan among them? While risk adjustment has always been a significant performance lever for government plans, in recent years, quality has become an equally important business...READ MORE
TAKE THE QUIZ: How does your member engagement strategy stack up?
Member engagement is a top imperative for health plans, and for good reason. Unengaged members can threaten quality ratings, hurt retention, limit accurate risk adjustment and hinder growth. When members are actively engaged, on the other hand, they can drive...READ MORE