Medicaid

Engage members to ensure compliance and improve outcomes

The most effective engagement occurs when intervention strategies provide support tailored to each individual's unique needs. Eliza identifies Medicaid members who are willing and motivated to engage in their health, pinpointing any remaining barriers they need to overcome, and connecting them to the proper resources. Our personalized conversations have proven effective in identifying risk, closing gaps in care, and improving HEDIS rates that enable plans to meet quality improvement goals, including state pay-for-performance targets.

Delivering Results for Our Clients

QUALITY AND
COST MANAGEMENT

  • 2-5%  year-over-year improvement in quality measures, using HEDIS methodology
  • 12.4% increase in well-child visit rate (1,722 scheduled in one year), using HEDIS methodology

REVENUE
MANAGEMENT

  • 10% increase in members more likely to renew coverage following Eliza outreach
  • 4.8% increase in renewal rates over a 12-month period, retaining $2.4M in revenue

CONSUMER
EXPERIENCE

  • Identified members who are homeless or having housing issues, and connected them with resources to assist with barriers to care
  • 62% opted in to future text communications
  • 54% opted in to future email communications

Eliza Medicaid Programs

Welcome &
Onboarding

Preventive
Care

Parental &
Postpartum

Chronic
Disease
Management

Medication
Adherence

Post-Hospital
Discharge

Emergency
Room
Avoidance

Satisfaction &
Outcomes
Surveys

Year-End
Gap Closure

Retention

Case Study

ELIZA FOR MEDICAID EBOOK

Within three months, 20 programs were up and running. By year end, 10 HEDIS/pay-for-performance measurements improved, in addition to retaining 9% of its membership, resulting in over $15M in retained revenues.

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.

  • The Eliza multi-modal redetermination reminder program resulted in a 70% retention rate—and also reminded our members that we care about them and their coverage.

    Client testimonial: Health plan ranked in top five in the U.S. for Medicaid
  • Eliza's cutting edge technology, flexibility and openness to build our program from the ground up answered our resource needs and they have been a great partner for 6 years.

    Client testimonial: Apriel Jessup, Business Change Director, Anthem, Inc.
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