Article Summary
Two goals, one strategy — reduce disenrollment and lift Star Ratings by reaching the members most likely to leave before they do.
Disengaged members are both a disenrollment risk and a drag on Star Ratings. By combining social determinants data with predictive analytics, Personify Health’s Retention Solution helped this health plan identify exactly which members were most at risk — and reach them with targeted, retention-focused messaging before disengagement turned into departure.
Disenrollment reduction
Star Ratings improvement
SDOH predictive analytics
At-risk member targeting
Retention-focused messaging
Medicare Advantage strategy
Challenge
- Reduce disenrollment, while increasing Star Ratings in retention categories.
- Reach members at-risk of disenrolling and therefore disengaged
Solution
- Leveraged the data (including social determinants) and analytics in Personify Health Retention Solution to predict exactly which members were most likely to disenroll.
- Targeted outreach with retention focused messaging to identified at-risk
members.
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