HOS and CAHPS results can make or break a Star Rating improvement strategy. Eliza can help health plans rapidly deploy a HOS and CAHPS improvement program to impact key measures and overall Star Ratings.
HMS Eliza Medicare Quality and Cost Management programs focus on closing gaps in care. Our programs are designed to engage healthcare consumers and drive results that align with HEDIS and CMS measurements. While we engage your entire member population, we work with you to identify and activate specific members to drive utilization to your quality improvement programs, optimizing your resources and driving ROI to your budget. To learn more, download this case study by completing the form.
HMS Eliza uniquely designed more than 25 multi-channel programs focusing on health outcomes related to diabetes, heart health, medication adherence, dental health, post-hospital discharge care, preventive care and well-baby/well child initiatives. Each outreach incorporated an SDOH assessment of socioeconomic barriers to care, including topics such as concerns about life necessities (food, shelter, and safety), physical and emotional impact on work and caregiving, and the ability to overcome problems and seek help when needed. To learn more, download this case study by completing the form.
Eliza partnered with our MCO client to educate parents about the importance of preventive care, remind them that their children may be due for a well- child visit, and even help them find a doctor and set up an appointment. We designed a multi-channel, multi-touch approach, including an automated call, followed up by an email to reinforce the information and to promote plan resources. Learn more in this downloadable case study.
Over the course of a single year, Eliza launched over 20 programs and initiated 2.3 million outreaches to almost a million members, resulting in the client achieving pay-for-performance goals. Over the past two years, these programs have continued to deliver measurable results. Our continued partnership and focus on aligning our client’s business imperatives with member engagement programs have strengthened the overall outcomes for our clients. Learn more in this downloadable case study.
Eliza’s culturally adapted approach to Health Engagement Management helps healthcare organizations overcome barriers to engaging the Hispanic Population to help improve overall health, and member satisfaction while reducing costs. This case study shares considerations and variations in the content that made a difference in the way Spanish speakers received well-child and diabetes care outreach and the results delivered. Learn more in this downloadable case study published in Population Health News, March 2017.
More and more State Medicaid agencies are turning to pay-for-performance incentives to improve health outcomes and lower costs. However, engaging the Medicaid population to attain these quality-based incentive goals is extremely challenging and requires personal motivation to get members to take action.
Journal of the American Medical Association
Center for Advancing Health
Contributing Author: Alexandra Drane p.143 -148