Clinical Quality, Health Reminders & Education

We help your members adhere to clinical plans and treatment guidelines by effectively engaging with them through clinical quality measures. HEDIS, STARS—and other means to measure aspects of care and service—give you the important feedback you need about patient adherence to medical protocol.

Your members respond to various methods of communication, and we work with you to determine the optimal ways to interact with them not only to deliver important information, but to ensure future and continued engagement. By offering your members multiple ways to be in contact with us, backed by our multiple inbound channel support, we provide your members with the support they need—which can only help ensure their ongoing satisfaction.

Our Capabilities

  • Dynamic message content, depending on members’ responses during interaction
  • Quick response programs—to allow deployment in short time frames to improve STARS ratings, to close HEDIS gaps in care or to provide coaching during teachable moments (i.e., ER utilization)
  • Multi-purpose outreach—addressing multiple gaps or asking survey questions within a single engagement
  • Fulfillment
    • On-demand ordering—e.g., in-home test kits
    • Follow-up mailings upon member request
  • Transfers
    • Appointment scheduling
    • Real-time actions—transfers based on immediate care needs

Examples of Solutions

  • Screenings (STARS / HEDIS / NCQA)
    • Colon cancer
    • Breast cancer
    • Glaucoma
    • Diabetes
    • Well-child exams
    • BMI assessment
    • Cholesterol
  • Annual flu / pneumonia vaccine
  • Refill reminders
  • Medication adherence
  • Preventative / routine care management
  • ER utilization
  • Welcome calls