Engage Complex Populations & Improve Care Coordination

As the aging population continues to grow, health plans must scale engagement initiatives to meet the needs of this resource-intensive population. CipherHealth engages Medicare members throughout their care journeys to meet both clinical and psychosocial needs.

One Platform for Member Management & Engagement

Disease & Care Management

Care Gap Insights

Coordinated Outreach

Automated outreach allows for customized and consistent call, text, and email outreach to Medicare members to drive engagement, education, and coordination with health services.

Care Gap Insights analyze data from disparate sources to create customizable reports that provide actionable insights and drive quality improvements.

Care management solution which offers clinically-validated care plans and activity-based workflows to reduce utilization costs, coordinate care, and drive long-term health improvement.

Medicare Member Journey

Sample Engagement Program

Step 1

Member receives an initial welcome call asking questions to assess general health status, member contact preferences, motivators and barriers to care.

Step 2

Member is contacted in their preferred language and communication method with questions related to social and clinical needs and reminders to close gaps in care.

Step 3

Care managers are alerted with member responses and can proactively address any issues while coordinating care with provider networks and community-based organizations.

Step 4

Advanced dashboards show population trends and insights in addition to individual member-level data to help organizations drive quality improvement programs and mitigate risk.

Improve Star Ratings

Engage beneficiaries in campaigns to address HEDIS® and CMS Star rating measures improving the member’s health and your performance.

Close Gaps in Care

Proactive outreach helps prevent adverse events by encouraging members to get preventive screenings and schedule follow-up appointments.

Enhance Operational Efficiency

Automatically deploy scalable engagement programs that improve workflows, member satisfaction, and outcomes.

As we considered potential care coordination technology partners, we made it clear that we wanted a strategic relationship; more than just a vendor. We look to companies like CipherHealth who have the foundation and drive to support our future growth.

Dr. Benjamin Berk

CEO Attuned Care

Related Resources

Want to Learn More? Discover More Information about Our Medicare Member Outreach Overview
Download the case study and see how Intermountain Healthcare maximized cost-savings through readmission reduction
Discover the benefits of using one integrated platform to meet your member management needs

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