A smart solution to the costly problem of member churn

A smart solution to the costly problem of member churn

Medicare Advantage (MA) has always been a highly competitive market, but with the expanded open enrollment period, an increase in highly rated plans, and an explosion of shopper tools, member satisfaction and retention has never been more challenging.

The growing problem of member churn

In the past decade, the average rate of member churn jumped from 8 percent to nearly 12 percent, and it’s expected to increase further in 2020 and beyond.1

Today, it’s easier than ever for members to shop for (and switch to) a different plan. In August 2018, just 25 percent of seniors were aware of the open enrollment period (OEP). By April 2019, 66 percent of seniors were aware of the OEP, and they now have a full three months to make a switch.2

Members also have more choices with every passing year. In the 2020 plan year, 3,148 MA plans will be available for individual enrollment—414 more than 2019.3

The financial impact of member churn

 The cost of churn for health plans can be significant, totaling hundreds of millions of dollars in lost revenue and increased costs. A plan with 75,000 members and 14 percent churn, for example, stands to lose nearly half a billion dollars in revenue and $71 million in projected gross profit.4 In today’s market when every dollar matters, plans can’t afford to watch millions walk out the door.

But addressing churn can be challenging because members leave for a variety of reasons, and efforts to retain them can be costly—especially when plans apply those efforts to all members.

It’s also important to remember that some members are more likely to churn than others. Based on NovuHealth’s propensity-to-churn modeling, we tend to find that members in the top four deciles (40 percent of membership) represent 56 percent of the overall churn risk to a plan. If your member retention efforts aren’t specifically focusing on the members most likely to leave, you could be missing a big opportunity.

Using predictive analytics to improve member satisfaction and reduce churn

 Most MA plans accept churn as an unavoidable reality, but here’s the thing: you don’t have to! NovuHealth’s Member Retention Solution uses our proprietary propensity-to-churn model to helps plans identify the members most likely to leave. We then recognize those members for the care gaps they close and engage them in other high-value activities, improving their connection with the plan and increasing the chances they stay.

Unlike one-size-fits-all approaches, NovuHealth identifies the members most likely to churn and delivers a personalized engagement experience designed to retain them.

 

To learn how NovuHealth’s Member Retention Solution can help you proactively identify the members likely to leave and engage them so they’re more likely to stay, schedule a quick chat with one of our engagement experts.

 

1CMS C30 Stars data
2Deft Research, 2019 OEP Supplement Study
3KFF, 2019
4NovuHealth churn impact calculation

About NovuHealth

NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates consumers to complete high-value healthcare activities by leveraging its sophisticated engagement platform, proven loyalty and behavioral science strategies, and deep industry and regulatory expertise. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served nearly 15 million consumers across all 50 states. Learn more at novu.com.

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It’s Diabetes Awareness Month! Here are 5 proven ways to close diabetic care gaps.

It’s Diabetes Awareness Month! Here are 5 proven ways to close diabetic care gaps.

Diabetes is a complex, costly and challenging condition—especially for Medicare Advantage members and the health plans who support them.

Not only are Medicare beneficiaries with diabetes up to 3X more likely to report fair or poor health than those without diabetes, they also average significantly more inpatient admissions.* It’s not surprising that Medicare has estimated diabetes accounts for 1 out of every 3 dollars it spends.**

Motivating members to manage their diabetes proactively is critical—but it can be a challenge. Most Medicare Advantage plans have initiatives in place to address the three Part C diabetes measures that help ensure members get the care they need. And while most plans perform well in at least one measure, few plans perform well in all three. No matter how your plan stacks up on the Part C diabetes measures, there’s always room for improvement.

In honor of Diabetes Awareness Month, here are 5 proven ways to motivate members with diabetes to close their care gaps— based on our experience with nearly 40 leading health plans and nearly 15 million members.

 

 

*Medicare Current Beneficiary Survey, 2017 **American Diabetes Association, 2013

 

About NovuHealth

NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates consumers to complete high-value healthcare activities by leveraging its sophisticated engagement platform, proven loyalty and behavioral science strategies, and deep industry and regulatory expertise. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served nearly 15 million consumers across all 50 states. Learn more at novu.com.

Read more