NovuHealth boosts Medicare performance,
delivers 4-Star rating with intelligent incentives

A NOVUHEALTH CASE STUDY

Challenge

For Medicare plans going for gold—that is, scoring above a 3.5-Star rating—the competition has never been fiercer.

How to get to (and stay at) the top? For our partner in this case study, a large Medicare Advantage Plan, our challenge was to improve diabetic care and deliver that elusive 4-Star rating. With 430,000 diabetic members, 220,000 of which were non-compliant, the plan wanted to boost member engagement and close gaps in care. Yet, with a budget unchanged from the previous year, they needed a unique solution that was cost-effective, seamless and delivered real business results.

Solution

At NovuHealth, our approach takes the best practices from consumer marketing—combining data analytics, intelligent incentives and personalized communication—to help plans increase their Star ratings. In designing a rewards and engagement program for this plan, we leveraged our (super secret) propensity modeling capability to identify 26,000 members who would deliver incremental value by completing specific activities related to gap closure, and raise the plan to a 4-Star status.

But we didn’t stop there. With the right members identified, we continued to engage and activate them through the right communication channel, message and incentive.

This is the key to our solution—our secret sauce—and it’s infused in each layer of our rewards and engagement programs. We continuously learn from member activity and non-activity, refining and adapting our approach to deliver high-value, incremental behavior change. With NovuHealth’s proprietary technology, we can deliver these changes automatically—modifying channel mix, communication style and, as a last step, incentive level—to deliver a personalized member engagement experience and high return on investment. After all, we’re in the business of winning at Star ratings.

Results

Insights

Go beyond a one-size-fits-all solution. Employ multiple engagement strategies, personalized for each member. Leverage intelligent incentives to drive member engagement and deliver high-value, incremental behavior change.

DOWNLOAD THE CASE STUDY  <https://info.novu.com/hubfs/Corporate%20Marketing%20Initiatives/Case%20Studies/Medicare/novuhealth-boosts-medicare-performance-delivers-four-star-rating-with-intelligent-incentives.pdf>

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.

Go beyond a one-size-fits-all solution with multiple engagement strategies personalized for each member.