Success story

Regional plan closes diabetes gaps

Gaps In care
Healthcare marketing
Medicare star ratings

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.


• 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.


• 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.


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.


Commercial and Medicare Advantage members identified with diabetes care gaps


engagement from at-risk members in closing at least 1 diabetes screening


closure of all 3 diabetes care gaps