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FREE WHITE PAPER

Conversations Drive Outcomes

Engaging Hard-To-Reach Medicare and Medicaid Populations

What can health plans learn from the retail industry’s success with consumer engagement?

Sometimes they are referred to as “unreached,” or “rising-Risk,” or “no-contact,” or some other internal label.

Regardless of what they are called, members with whom the usual attempts to engage them have failed demand more attention from healthcare. Leading organizations have begun looking for alternatives to the diminishing results of traditional outreach methods.

This paper shows the key considerations and best practices for driving outcomes for hard-to-reach members and real examples of how plans have leveraged Conversational AI technology to expand existing engagement efforts, impact key quality metrics, and transform how they are able to deliver care for their members who need it most.

KEY OUTCOMES IN THIS WHITEPAPER

30K

previously unengaged members who responded to outreach

48%

of all targeted hard-to-reach members completed needed screenings (5,353 total gap closures)

10.5pp

increase in blood sugar gap closure than the comparison group