As a health plan, the New Year brings additional excitement: new members, calls to member services, managing requests for a new PCP, etc. And this year, for Medicare Advantage plans, a change to the disenrollment period, allowing members to make plan changes through March 31, 2019. This year, more than ever, plans need to “wow” their members, identify issues quickly, and make rapid adjustments. Not to mention improve Star Ratings, quality outcomes, and reduce cost while improving member, provider, and staff experiences.
Eliza’s thought leaders weigh in on the latest developments from Eliza, our clients, and the healthcare industry at large.
The CMS continues to push on measuring and reporting information from the consumer perspective for Medicare Advantage and Part D contracts, so the time to focus on improving member perceptions of care quality and experience is now.
Medicare Advantage (MA) plans have a significant opportunity to drive improvement in key HOS and CAHPS measures to increase Star Ratings. Check out these resources to help you evaluate your efforts, understand the value of implementing a Star Rating improvement strategy, and think about HOS and CAHPS measures differently.
Check out this infographic to learn how HMS Eliza helped a client rapidly deploy a HOS and CAHPS program that resulted in the health plan improving four key measures by 1 and 2 Stars and increasing the overall plan rating from 3.5 to 4 Stars.
By leveraging HMS Eliza's set of health engagement solutions, health plans serving Medicaid enrollees across the country have been able to reduce churn by proactively reminding members when they're up for renewal. Our well-timed, multichannel outreach programs provide members with the information they need to maintain their coverage and access to life-saving health benefits. The result is a satisfied customer and significant plan savings.
Here are three things health plans should keep in mind when building out their flu prevention strategy for member outreach campaigns.
An estimated 40,000 women die each year from breast cancer and another 4,000 from cervical cancer according to the CDC. One in eight women will be diagnosed with breast cancer in her lifetime and it is the fifth leading cause of death for women over 50 years of age.
In a recent article published by First Report Managed Care, Jennifer Forster, director of Medicaid Strategy at HMS Eliza shares her insight in regards to improving outcomes by providing nonmedical benefits that have previously been posing as barriers to their overall health.
Have you ever thought about “pre-boarding” your members? Why not reach out early to engage members before their effective date, especially if it means you can identify transition of care needs.
Patient experience and outcomes measures make up a significant portion of the overall Medicare Star rating score based on HOS and CAHPS survey results.