The key to raising HEDIS scores:
intelligent member engagement



2016 HEDIS scores are out! Which means, by now, your plan should have a strong indication of which measures you’ll need to improve upon for 2017.

But…is it already too late in the year to boost those vital metrics? Not with a NovuHealth engagement program. Read on to find out exactly how we do it.


In this case study, we partnered with a leading Medicare Advantage health plan to improve HEDIS measure performance and lay the foundation for ongoing member loyalty. To do this, we designed a customized engagement program to close gaps among a specific number of members in a short period of time. How short? Well, the program launched in October to a population of 120,000 members.

To make a big impact in a matter of months, we targeted only those measures that would have the biggest impact on quality ratings and overall plan performance—like the Annual Wellness Visit. The key to success was focusing on members with a high propensity to act. Utilizing our data science “secret sauce” combined with a higher-than-usual communication frequency, we were able to close the right gaps. Our program design allowed us to provide a seamless, user-friendly experience to members, increasing satisfaction, participation and gap closure—and, ultimately, boosting HEDIS scores.



Time is just one of the many factors that contributes to the design of an engagement program. When time is limited, we can increase incentives, communications and audience focus to improve HEDIS scores. At NovuHealth, we leverage consumer loyalty marketing best practices to drive high-value behaviors and deliver results.


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.

The key to success was focusing on members with a high propensity to act.

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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