Two major trends shaping the health care revolution: Insights from AHIP

Two major trends shaping the health care revolution: Insights from AHIP

How do you know when you’re witnessing an industry on the cusp of a revolution? Language.

The phrases buzzing around the 2016 AHIP (America’s Health Insurance Plans) Institute & Expo were rife with change. Phrases like data utilization for better decisions, outcome-based payments, behavioral economics and customer service excellence. Words that the health care industry has been slow to adopt, but were in ample abundance at the industry’s flagship event for health care professionals.

Standing out above the noise were the words “disruptive innovation”—a term coined by Harvard Business School Professor Clayton Christenson, an international authority on innovation, to describe what happens when an industry goes through a technological transformation. Health care’s transformation has been a long time coming, but, following a culmination of factors ranging from legislation (the Affordable Care Act) to CMS regulations, cost controls and consumer demands, change is imminent.

So what does disruptive innovation mean for health care, and is it more than just words and phrases? The real change is evidenced by two major new trends in the industry: 1) the consumerization of care and 2) the utilization of data.

1 ) Consumerizing the health care experience

Just like consumer brands Apple and Google disrupted the music and advertising worlds, respectively, health plans stand to make a real and lasting impact on the way people engage with their health. And because users have come to expect the same type of tailored experience that they receive in the retail world, consumerizing the experience is a win-win for members and plans alike. At Novu, we fuel our platform’s marketing engagement engine with rewards and incentives paired with behavioral science in order to deliver the right message to the right member at the right time.

2 ) Utilizing data

While health plans have long collected data on members, using that same data to improve on the customer service experience is just beginning to take shape. At Novu, we use data and analytics to create tailored campaigns at the contract, H-plan and member levels. The result for our clients is more effective member engagement and, ultimately, improved HEDIS and CAHPS scores.

Ready to join the revolution? Contact us to learn more about how our innovative solutions combining data analytics, consumer engagement and rewards & incentives can impact your plan.


About NovuHealth
NovuHealth is the leading healthcare consumer engagement company, offering rewards and incentive programs that improve consumer health and plan performance. NovuHealth applies proven loyalty and data science strategies and leverages its deep industry and regulatory expertise to motivate high-value consumer activities. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served more than 15 million consumers across all 50 states. Learn more at novuhealth.com.

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NovuHealth at AHIP Institute & Expo in Las Vegas, June 15-17

NovuHealth at AHIP Institute & Expo in Las Vegas, June 15-17

The AHIP Institute & Expo is the must-attend event for insurance professionals across the health care industry. Throughout the year, AHIP (America’s Health Insurance Plans) works to keep payers informed of the latest trends and challenges in the industry, and the Institute & Expo is their flagship event.

This year’s conference will be taking place in Las Vegas, Nevada from June 15-17. Taking a look at the agenda, it’s clear that AHIP considers consumer engagement, digital technologies and preventive health and wellness engagement strategies to be at the leading edge of innovations in health care. As a behavior change technology platform, These topics closely align with how we apply emerging technologies in health care both with our product offerings and company vision. NovuHealth’s solutions can be tailored at the H-contract and/or PBP level so you can:

  • Use rewards and incentives programs to close gaps in care
  • Improve quality measures: CMS Stars, HEDIS, HOS, CAHPS
  • Optimize risk adjustment revenue through preventive care and wellness
  • Build trusted relationships with members

Are you heading to AHIP this year? We’d love to meet with you one-on-one and discuss how our solutions can impact your quality planning  and bottom line—all while fitting into your existing ecosystem.

If you can’t make it to this year’s conference, we’ll be recapping key takeaways here on the blog. If you sign up for our blog updates, we’ll email it to you the second it’s available.


About NovuHealth
NovuHealth is the leading healthcare consumer engagement company, offering rewards and incentive programs that improve consumer health and plan performance. NovuHealth applies proven loyalty and data science strategies and leverages its deep industry and regulatory expertise to motivate high-value consumer activities. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served more than 15 million consumers across all 50 states. Learn more at novuhealth.com.

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6 key steps for a successful Medicaid rewards and incentives program

6 key steps for a successful Medicaid rewards and incentives program

As CMS moves forward with the implementation of a star quality rating system for Medicaid plans, and more and more states liberate their rules around wellness incentives, the stage is set for health plans to maximize their performance (and their ROI) through the use of rewards and incentives programs. Rewards and incentives programs for wellness activities are proven to drive desired healthy behavior among participants, resulting in improved HEDIS measures, optimized risk adjustment revenue and increased member engagement.

NovuHealth’s recent webinar, “The 2016 Medicaid Playbook: Using Rewards and Incentives Programs to Drive Contract Performance,” focused on just this topic, offering 6 key steps for designing a successful Medicaid rewards program:

  1. Define business objectives
    Defining what your program looks like and setting clear expectations for how success will be measured will help focus your marketing and reporting efforts. Establish the highest impact goal to act as the base for your overall program design.
  1. Utilize customer segmentation
    The broader Medicaid membership is comprised of distinct, diverse and hard-to-reach audiences. Focus your efforts on activating and engaging segments of non-adherent members to drive incremental performance. Non-targeted programs cost over 50% more for less impact on HEDIS measures.
  1. Identify health behaviors
    Select and prioritize behavior change opportunities based on where the measures sit, how far they need to move, and whether they can be impacted by a Medicaid rewards program. Members that are shown 2-3 achievable activities at a time are twice as likely to participate than those shown 5 or more.
  1. Choose the right reward type and value
    Determine the right value for your wellness rewards—what’s needed to achieve goals and optimize economic return. Through our research, we’ve discovered that a $25 incentive drives the majority of behavior, and a member who redeems once is twice as likely to do a second earning activity. Debit cards and pre-paid mobile minutes are popular rewards for the Medicaid audience.
  1. Employ omni-channel communications
    Medicaid members migrate across channels, so give them multiple avenues to engage, creating a seamless cross-channel experience. Pay particular attention to mobile engagement—50% of smartphone users have an annual income of less than $30,000.
  1. Foster ongoing engagement
    Encourage continuous member engagement by leveraging new and existing channels, and tapping into the consumer lifecycle. We’ve seen a 1.7x increase in gaps closed for members who are engaged in deeper digital features.

With these strategies for your Medicaid rewards program in mind, your health plan can improve incremental performance and overall quality measures.


About NovuHealth
NovuHealth is the leading healthcare consumer engagement company, offering rewards and incentive programs that improve consumer health and plan performance. NovuHealth applies proven loyalty and data science strategies and leverages its deep industry and regulatory expertise to motivate high-value consumer activities. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served more than 15 million consumers across all 50 states. Learn more at novuhealth.com.

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Member Engagement and Retention in a New Era of Communication

Member Engagement and Retention in a New Era of Communication

The 2016 RISE conference once again brought together stakeholders from across the health care industry looking to transform quality scores, care outcomes and risk adjustment. From the panels and keynote speakers to the hallway conversations, it was more clear than ever that health plans are acutely aware that we’ve entered a new age of communication when it comes to member engagement—and that embracing it is key to attracting and retaining members.

Request a demo

Personalized member communications—delivered across channels—not only serve to improve member satisfaction, but can ultimately affect quality scores like Medicare Star ratings, HEDIS and CAHPS. Take a look at our top takeaways:

Treat members like customers

When members are treated like customers, then attracting and retaining them is built seamlessly into the fabric of an engagement strategy.

In other words: think like Amazon. Amazon is constantly working to engage new customers and re-engage existing customers by personalizing their experience and delivering choice. This frame of thinking can apply to everything from program design to site layout. 

Utilize omni-channel messaging

Omni-channel messaging means you can reach the right member with the right message at the right time. Talk to the member where they are – and allow them to respond in their preferred channel. For Medicaid members, text messaging can be a powerful tool. For Medicare conference participants, the importance of call center support was central to the conversation.

Collaborate on member retention strategies

It’s important for departments across the plan to consider member engagement. Member engagement strategies—whether they’re delivered through a wellness program that deploys rewards and incentives or another NovuHealth solution—not only affect quality measures like Medicare Stars, but can also be key to risk adjustment. Decide who will “own” member engagement –but work as a team to make sure the strategy is implemented across the organization.

Core to NovuHealth’s platform is the ability to influence member behavior—a focus area that will benefit plans with significant high-risk populations in particular. Request a demo by clicking the button below and learn more about how NovuHealth’s solutions can help impact your quality scores or risk adjustment needs.

Request a demo


About NovuHealth
NovuHealth is the leading healthcare consumer engagement company, offering rewards and incentive programs that improve consumer health and plan performance. NovuHealth applies proven loyalty and data science strategies and leverages its deep industry and regulatory expertise to motivate high-value consumer activities. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served more than 15 million consumers across all 50 states. Learn more at novuhealth.com.

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Using Healthy Rewards and Incentive Programs to Drive Performance

Using Healthy Rewards and Incentive Programs to Drive Performance

WEBINAR: THURSDAY, APRIL 7TH, 1P.M. ET

As CMS moves forward with the implementation of Quality and Performance Measures for Medicaid plans, now is the time to start your strategic planning. Learn how to leverage rewards and incentive programs (R&I) to drive positive health behaviors, close gaps in care and mobilize plan performance.

In this webinar, Novu will share hands-on experience and expert insight for incentivizing Medicaid members through R&I programs.

If you’re attending this year’s event, schedule a meeting with a Novu executive to learn how we can help your plan:

Jordan Mauer, EVP of Marketing & Operations, and Kristin Gasteazoro, VP of Payer Sales will lead a data-driven discussion on designing compliant, cost-effective and financially beneficial R&I programs. Best practice insights will include:

  • Compliance and regulatory issues affecting Medicaid plans
  • Identifying the most important health behaviors that will help you meet your Pay for Performance Standards
  • How to identify and segment discrete populations for health reward programs
  • How health plans can activate hard-to-reach members
  • Which communication channels (paper-based, digital and phone) work best to reach members
  • Optimal healthy rewards values and types to match specific high-value actions
  • How to start developing a rewards program
  • How Medicaid health rewards programs enhance plan differentiation and member preference
  • How rewards strategies augment risk adjustment efforts
  • The latest Novu case studies and data on what’s working today

Registration and attendance is free.


About NovuHealth
NovuHealth is the leading healthcare consumer engagement company, offering rewards and incentive programs that improve consumer health and plan performance. NovuHealth applies proven loyalty and data science strategies and leverages its deep industry and regulatory expertise to motivate high-value consumer activities. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served more than 15 million consumers across all 50 states. Learn more at novuhealth.com.

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