Health Engagement: One Size Doesn’t Fit All

If you spend more for something, you expect better quality, right?

According to the Commonwealth Fund’s latest view of Medicare spending per capita vs. overall quality score, the data says otherwise for many states.  For example:

  • Louisiana has 25% higher spending than the national average, but their quality is 14% lower than the average
  • In New Jersey, the per capita spending is $9,587 vs. Oregon is only $6,380

What about those states that score high (average 4-5 STARS) on Medicare Advantage STAR scores such as Michigan, Massachusetts, and Illinois?  Their overall numbers may not be as low as Texas, Louisiana, and Florida, but their costs are still high versus quality.

  • Michigan: $9,521 per capita spending with 11% higher in spending, for only 1% improvement in quality over the national average.

The overall view that combines hospitals, doctor’s offices, home health, and nursing home numbers is below.  You can see there is almost a slight tip to the south and east- a bit of a corridor. Blog - 7.16_1

It gets even more interesting when you look at the subgroups like home health.  Some of the states that had a normal rating overall, quickly slip when you look at home health on its own. See below: Blog - 7.16 (2)

When home health is viewed on its own a few staggering data points float to the top:

  • Texas: 182% higher spending and 2% lower quality
  • Florida: 148% higher spending for only 5% higher quality

How are payers, providers, and other healthcare entities changing the game?

Interestingly enough, PBS just published a series on a quiet revolution that has a goal of improving care while at the same time lowering cost.  In fact, the caregivers they highlighted focus on listening and putting the patient at the center of care from Maine to Mississippi, all the way to Alaska, and they are caring in the way that makes sense for their community.  This means house calls in small town Maine, a mixture of traditional and spiritual methodology in Alaska, and a hospitable approach in San Francisco.

Eliza takes a similar approach to solving client and patient problems.  Through conversations- whether on the phone, over email, or through a text, Eliza uncovers barriers to better quality, better outcomes, and improving costs.  We do this by tailoring our programs to meet the needs of our clients and the people they serve.

At Eliza, we know that one size does not fit all.

For example, in a recent preventive screening outreach to Medicare members, Eliza was able to not only improve completed screenings, but also uncover barriers such as transportation challenges, concerns about comfort, and even apathy.

Blog - 7.16 (2) 

By taking a conversational approach to healthcare, a laser-focus on peoples’ motivations, their concerns, and their reactions to the initiatives supported, Eliza knows what makes people “tick” – and the technology and content constantly are fine-tuned to honor consumers’ unique challenges and preferences to effect small changes in behavior across different populations. These small changes lead to better engagement and better outcomes. As a result, Eliza is uniquely qualified to deliver more granular data to clients about how people are behaving. Eliza also is able to refine recommendations and implement strategies that leverage this data in order to drive desired outcomes for clients.

To learn more about Eliza’s preventive screening solution, or any of our Eliza for Medicare solutions, please contact us at or 1.844.343.1441.



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