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Onboard, manage, and retain members—and recover premiums

Eliza works with commercial and marketplace clients to get closer to their members. We can help segment your member population more intelligently. We engage them in ways that resonate, from onboarding and welcoming, through retention of those in individual plans. Eliza coordinates many messages to streamline your member conversations and build trusted relationships.

Our solution combines HEDIS completion data with Eliza member-level interaction data to track progress toward closing gaps and achieving the next performance threshold. Based on this data, we can help you develop micro-targeting strategies that engage subsets of your members and drive those “last mile” gap closures.

Delivering Results for Our Clients

QUALITY AND
COST MANAGEMENT

  • 76% increase in recommended diabetes screening
  • 137% increase in colon cancer screening rates
  • 400% increase in online smoking cessation program participation

REVENUE
MANAGEMENT

  • 9% reduction in likelihood of membership termination due to supportive QHP outreach
  • 7% increase in retention rates
  • 73% reduction in call center volume for immediate ROI

CONSUMER
EXPERIENCE

  • 85% improvement in Net Promoter score
  • Increased percent of members feeling 'in control' of their condition from one outreach to the next
  • 62% of those reached by Eliza provided email addresses for future communication 

Eliza Commercial Programs

Preventive
Care

Condition
Management

Post-Hospital
Discharge

Medication
Adherence

Closing Gaps
in Care

Member
Retention

Reminders

Health Risk
Assessments

Satisfaction
Surveys

CLIENT SUCCESS STORY:

Post-Hospital Discharge

 

CHALLENGE:
Reduce readmission of members after discharge from a behavioral health event.

RESULTS:

  • 72% less likely to readmit after Eliza outreach
  • 70% of members reached asked to speak with a health coach

 

Well-Child Gap Closure

 

CHALLENGE:
Encourage parents/guardians to schedule children age 3 to 6 for a well-child visit.

RESULTS:

  • 22% increase in well-child visits
  • Additional channel outreach provided an 8% lift in gap closure

Program Participation

 

CHALLENGE:
Increase awareness of a health improvement program and connect members to a health coach.

RESULTS:

  • 100% increase in member connection with health coaches over a 3-month period

Our Approach Video: Health Engagement Management

Eliza’s Health Engagement Management solution reaches individual healthcare consumers and initiates a personalized two-way conversation that motivates them to take action. It integrates a scalable, multi-channel technology platform, proprietary data sources, industry-leading analytics, and experience-driven program design services to deliver outcomes that matter. Watch this short video to learn more.

  • We saw success in a very short time
    working with Eliza.
     

    Client testimonial: Manager, Quality Rating Systems

Contact us:

EMAIL US
eliza@hms.com

CALL US
1.844.343.1441

VISIT US
75 Sylvan Street, Danvers, MA
Let's Connect