Education Elevates Exam Compliance by 160%

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Case In Point

A leading health plan partnered with Carenet to elevate Medicare member compliance with annual exams to improve clinical outcomes, boost quality ratings, and reduce costs and penalties.

Situation & Opportunity

Annual exams and screenings such as tests for cancer, hypertension and high cholesterol are a critical component of preventative healthcare. Failure to complete basic screenings jeopardizes member health and increases costs. We know the most effective engagement driver is a one-on-one conversation with an experienced healthcare professional. By educating and engaging members on the importance of preventive care, the Plan could detect disease states early ultimately improving clinical and financial outcomes, HEDIS measures and Star ratings.

Success Strategy

Carenet designed a multi-touch solution focused on educating members on exam benefits, facilitating appointment setting, and delivering a high level of personalized support that motivated members to take a more active role in their healthcare.

Outreach by our engagement specialists included:

Performance Delivered

By combining multiple touch points with an unmatched level of personalized support, Carenet inspired more than a third of the members to schedule an exam, elevating plan performance by 160%. Plus, live member interaction enabled us to track compliance obstacles helping the Plan refine their services.

Become a Success Story

As a result of the program’s stellar success, the Plan signed on for Carenet’s complete Medicare Engagement Solution. Designed to close clinical gaps, our comprehensive solution elevates member engagement, health outcomes and satisfaction while amplifying revenue through improved HEDIS scores, Star Ratings, Quality Bonus Payments and accurate Risk-Adjustment Premiums. Contact Carenet to learn more.