Conversational AI Orchestrates Medicaid Member Engagement and Quality Initiatives

The Managed Care Organization used mPulse Mobile's Conversational AI solutions to engage and activate their members. A primary goal was to improve the Child and Adolescent Well-Care Visits HEDIS measures (W15, W34, AWC) by driving increased primary care visit rates for their members under the age of 19.


Key Takeaways

— 1 —

PCP visits rates for the 2-6 year-old group increased by 9.9 percentage points, the 7-11 year-old group increased by 11.1 and the 12-19 year-old group increased by 6.9.

— 2 —

Over 300,000 tailored conversations were delivered to ~17,000 members over a 12 month period, creating an average of 60 new touchpoints per member.

— 3 —

The program orchestrated conversations relating to over 40 different health topics, with an average member response rate of 25%.

Delta Dental | Inland Empire Health Plan | California Health Care Foundation | Healthx | Trusted Health Plan | Santa Clara Family Health Plan

What Our Medicaid Plans Say

"mPulse Mobile’s understanding of the Medicaid population and insight-driven mobile engagement solution has enabled us to connect and engage in a two-way dialog with our members, a conversation that’s led to improved knowledge of our services, generating better health outcomes."

Susan Arcidiacono, Chief Marketing Officer, IEHP

Inland Empire Health Plan

About mPulse Mobile

mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by engaging individuals with tailored and meaningful dialogue. mPulse Mobile combines behavioral science, analytics and industry expertise that helps healthcare organizations activate their consumers to adopt healthy behaviors.

With over a decade of experience, 70+ healthcare customers and more than 150 million conversations annually, mPulse Mobile has the data, the expertise and the solutions to drive healthy behavior change.