Regional Plan Leverages Personalized Outreach and Rewards to Drive 20% of Members to Close All 3 Diabetes Gaps
Keeping diabetes in check by completing an annual eye, blood sugar and kidney screening is important not only for a member’s health but also for a plan’s quality measures and Star Ratings.
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Challenge
• Our client had been using a manual process to offer, track and
fulfill gift card incentives to drive its Commercial members to close gaps and boost quality measures.
• As the rewards volume grew to over 20,000 cards a year – and the desire to expand the program to Medicare Advantage members – the plan knew it needed a more sophisticated way to engage members in completing diabetes screenings.
Solution
• The plan partnered with Personify Health to launch a web and mobile member engagement platform to not only simplify its process for fulfilling rewards but also make it easy to offer holistic health and wellbeing resources in a digital way.
• Personify Health leveraged its consumer and SDOH data to predict which Commercial and Medicare Advantage members were at risk for diabetes gaps in care – and most likely to take action. Members were invited to join programs on the platform and incentivized to complete an annual eye, A1C and/or kidney screening. The rewards were easily integrated and fulfilled with members receiving $20 for each screening completed, as well as an additional $20 bonus after completing all three.
• The platform also successfully drove member engagement in programs focused on staying socially connected, avoiding falls, and getting their annual flu shot, among others.
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Results
Personify Health identified approximately 9,000 members at risk for diabetes gaps. With targeted outreach and rewards, the plan achieved 30% engagement among these members. Additionally, 20% of them completed all three care gaps – a significant achievement. Internally, the plan saw value by “get out of the gift-card business” due to Personify Health automating the rewards fulfillment process.