How NovuHealth impacts HEDIS® scores:
Engaging the right Medicaid members



Not all Medicaid members are created equal when it comes to closing gaps in their care. Some will naturally attend care appointments without a second thought; others simply can’t due to transportation, child care or other restraints. Then there are members who are likely to close gaps with sufficient incentives and engaging reminders—and have the biggest impact on your HEDIS® score— if only you can reach them.

So how do we engage the hard-to-reach? In this case study, we partnered with a large Medicaid plan to do just that, simultaneously closing gaps in care and improving plan performance. Read on for our game plan.


At NovuHealth, we work with Medicaid plans to drive continuous engagement among the right member populations, so we can impact behavior cost-effectively. And as the data geeks that we are, we follow the research. In this case, the research showed us we’d be most successful by targeting those due to attend prenatal and well-child visits. So, we zeroed in on this likely-to-engage population, designing a rewards and engagement program to boost quality scores and better manage risk.

Our program specifically focused on the historically non-compliant, non-responsive members—those likely to impact HEDIS® scores. To drive engagement among these members and reach them wherever they might be, we developed an integrated multi-channel member experience (with a heavy focus on mobile), sent consistent communications and offered multiple, timely incentives to engage members throughout the program.

Ultimately, with the barriers Medicaid members often face when it comes to participating in the health system, we know it’s crucial to design a program that’s rewarding, simple and easy to use. Using extrinsic value to overcome barriers is key, as is reaching the right member with the right message via the right channel. We’ve woven these key findings throughout our Medicaid rewards and engagement programs, improving HEDIS® scores as we perform that ultimate health engagement feat: effectively reaching the hard-to-reach.



Segment your population to target the right members and raise HEDIS® scores. Offer multiple timely incentives to drive members through the journey. Intelligently engage members where they are with a holistic, multi-channel communications strategy.


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.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Using extrinsic value to overcome barriers to better health is key, as is reaching the right member with the right message in the right channel.

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.


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