Top National Payer Generates over $9M in ROI with Targeted Quality Initiatives

Driving Results that Matter

One of the nation’s largest payers sought to improve their Medicare Quality measures and gain ROI on their improvement initiatives. Their ultimate goals were to support member centricity and improve overall member satisfaction.

The plan leveraged Personify Health’s advanced analytics and multi-channel communication capabilities to impact medication adherence, HEDIS, Star Ratings, and other quality measures. They have seen significant results, including:

Challenge

• Improve quality measures (HEDIS, Stars) across a diverse membership base of more than 30M members.

Solution

• Implemented Personify Health Medication Adherence and Gap Closure solutions to address quality drivers: at-home screening kits, medication adherence, appointment reminders and post-hospital discharge.

• Enriched customer data with Personify Health consumer database, including Social Determinants of Health.

• Executed targeted multi-channel campaigns across IVR, live agent, direct mail, email and SMS/Text channels.

See how Personify Health can help your organization.