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Successes
Multi-touch outreach strategy
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Case In Point
Carenet partnered with a leading Medicare Advantage Plan to improve member health and reimbursement rates by increasing annual physical exam compliance among high-risk seniors.
Situation & Opportunity
Forty percent of seniors have unreported and untreated chronic conditions. By raising exam compliance, the Plan could accurately identify and treat members ultimately boosting reimbursement rates. Prior in-house compliance initiatives were unsuccessful.
Success Strategy
Carenet’s expert engagement team executed a multi-touch member outreach strategy focused on building one-to-one relationships with members and coordinating their care. Members were informed on exam benefits, educated on benefit eligibility, and assisted with appointment scheduling.
Performance Delivered
Educating and empowering members enabled them to take a more active role in managing their health. Carenet improved the Plan’s performance by 200% and, through successful risk adjustment analysis, generated approximately $9 million in annualized adjustments.
Become a Success Story
With nearly 25 years of customer-relationship management experience in healthcare, Carenet knows nothing drives lasting change more than personal interaction. Designed to proactively connect with members throughout the year, Carenet’s full Medicare Engagement Solution is a multi-touch program focused on cultivating one-to-one relationships with individual members. The result: member engagement, health and retention improves ultimately boosting plan performance and Star rating bonus payments while lowering everyone’s costs. Become a success story — contact Carenet now to learn how.
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