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talk to us

Elevate member experience and boost Star Ratings

Lean into digital-first engagement strategies to close care gaps and improve outcomes

Meet with an Expert
Download the guide

The diverse needs of Medicare Advantage members extend far beyond mere medical coverage. From identifying the right plans to managing complex health conditions, members require comprehensive support tailored to their unique situations. This is where we come in.

For more than two decades, we’ve assisted top-tier health plans strengthen relationships with their members, improving access to care and enhancing satisfaction, Star Ratings. By blending digital-first strategies with empathetic human outreach, our solutions personalize engagement, empowering MA members to navigate their healthcare journey with confidence and ease. Whether it’s accessing their supplemental benefits, coordinating appointments, or simply understanding their insurance benefits, our offerings ensure that every member receives tailored and proactive support, elevating their healthcare journey and boosting your Star Ratings.

#ResultsMatter

0 Star

Ratings achieved by 6 clients

0 clients

increased their Star Ratings by 1 Star

0 %

reduction in costs

Learn more about how we put MA plans on the path to 5-Star excellence

Check out how we helped a leading MA plan increase appointment scheduling by ~3X while cutting costs by 70%

Learn more about how we put MA plans on the path to 5-Star excellence

Check out how we helped a leading MA plan increase appointment scheduling by ~3X while cutting costs by 70%

Do more with our Star expertise

The rapid pace at which the Star Ratings methodology evolves poses a significant challenge, leaving little time for plans to keep pace. While addressing changes across every measure may be challenging, prioritizing member experience can have the greatest impact. As a trusted customer experience management (CXM) provider for numerous MA plans, we offer the expertise and resources needed to help you build trust with your member base and scale tailored engagement initiatives effectively.

Dedicated CMS Taskforce

Tap into our dedicated team of specialists committed to developing and implementing solutions and best practices aimed at driving Star Ratings success.

Omnichannel appointment scheduling

Combine automation and analytics with multilingual human support to initiate cost-effective outbound and inbound campaigns across channels.

Data-driven member support

Assist members year-round through data-driven multi-channel outreach, closing care gaps, and enhancing member engagement and satisfaction.

Targeted agent training and empowerment

Utilize AI-driven recruitment, training, and knowledge bases to hire best-fit agents and empower them with timely and relevant data.

Make social media your CX superpower

Get a complimentary social media analysis

Reimagine Customer Experience on Social Media

Download the Whitepaper
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Health plan benefits

  • Better understand member needs and preferences using advanced analytics and AI
  • Address unique member needs with personalized engagement depending on where the member is in their journey
  • Enhance outreach with HEDIS data and fill care gaps with tailored omnichannel initiatives
  • Drive continuous process improvements to enhance care and plan outcomes
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Cost optimization

  • Year-round care guidance and navigation on a channel of their choice
  • Focus on whole health and access to timely care, leading to improved health outcomes and wellbeing
  • Reduced member effort and increased satisfaction and loyalty

ResultsCX healthcare advantage

Our dedicated CMS Taskforce is specialized in meeting the stringent demands and standards of Star Ratings. With a focus on understanding the nuances of Star measures and continually enhancing expertise, the taskforce helps clients excel in all rating metrics by employing a proactive approach.

Conduct agent performance analysis and provide comprehensive and advanced training, support, and incentives to agents

Offer personalized, data-driven, multilingual member support

Provide recommendations for best practices and process improvements

Ensure proactive monitoring and mitigate technical issues

Discover new ideas, insights & solutions

Star Ratings and Member Experience: Two Sides of the Same Coin

Blog

May 10, 2024

Driving Star Ratings Success: 4 Strategies to Strengthen Plans in 2025PY and Beyond

Blog

February 12, 2024

Seamless Healthcare CX

Elevating The Member Experience In 2024: Expert Advice For Health Plan Executives

Blog

January 4, 2024

Improve your Star Ratings with our digitally enabled member engagement strategies

with our digitally enabled member engagement strategies

Request a consultation
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