Measurable Client Results
+1
35%
60%
55%
Client Spotlight
When a regional Blues plan needed to impact annual Star ratings late in the year, Engagys created a CAHPS outreach program that increased nine out of ten measures in mock CAHPS, driving one full Star Rating increase for the plan.
Our team:
- Rapidly designed a targeted outreach focused on high-impact scripting.
- Created nine behaviorally informed member segments to power frontline engagement.
- Deployed behavioral science–driven call scripts, including tailored messaging, icebreakers, and intervention pathways aligned to each persona.
- Executed call center training and QA, including train-the-trainer sessions and live call monitoring.
Our Approach
Medicare Stars Solutions
We begin by analyzing data by CMS measure, segment, contract, geography, member demographics, health status, claims, and plan type.
Build member trust through seamless, omni-channel campaigns, CAHPS-focused outreach, optimized content, and trained call center teams.
Optimize data, governance, and integration to drive personalized outreach, close care gaps, increase medication adherence and improve diabetes care measures.
Use consumer-centered design to drive next best action, optimizing high-impact touchpoints for engagement and compliance.
Organize systems, governance, and departments under shared definitions and measurable goals, supported by executive sponsorship and strong internal communication.
Use modular scripts, playbooks, and training with daily feedback loops to improve performance, reduce grievances, and sustain Star Rating gains.
What We Know
Use Cases
CAHPS & Experience: Drive measurable improvements in CAHPS by optimizing high-impact member touchpoints—such as onboarding, service interactions, and post-care follow-up—with clear, personalized communications, reduced friction, and consistent execution across channels.
HOS & Population Health: Improve HOS outcomes and population health performance by driving sustained behavior change, strengthening chronic condition management, and reducing breakdowns across the care journey that impact members’ long-term health and quality of life.
HEDIS & Preventive Care: Identify and close high-priority HEDIS care gaps by targeting the right members with barrier-specific outreach, coordinating with providers, and ensuring services are completed and accurately documented to improve quality scores and Star Ratings.
What We Do
Solutions Driving Results
Consumer Engagement Strategy
Move from insight to action with consumer engagement strategies aligned to your business priorities and proven to drive member behavior change.
Digital Transformation & AI Acceleration
Modernize your communications infrastructure and member journeys by consolidating, standardizing, and redesigning how outreach is planned, governed, and measured.
Engagement Operations as a Service
Equip your team with the operational support needed to execute and optimize critical business processes, giving you the power to scale impact without investing in new platforms or infrastructure.
Ready to Scale Engagement Results?
Book a personalized engagement benchmark and solution review.