Medicare Stars Services

Engagys partners with health plans to improve Medicare Star Ratings through strategic engagement, operational alignment, and hands-on implementation. Our deep expertise across CAHPS, HEDIS, HOS, and gaps in care enables us to deliver measurable improvements in member experience, quality scores, and plan performance. 

We don’t just recommend changes; we design, test, and deploy programs that work. 

Our Medicare Stars Support Includes: 

Trust-Centered Engagement Strategy 

  • Engagys helps health plans build trust with members by focusing on optimized, seamless interactions throughout the member journey. 
  • Omni-channel campaign orchestration using CRM and marketing automation platforms 
  • CAHPS-specific outreach strategies including omni-channel campaigns, content optimization, call center training, and communications governance  
  • HOS campaign development focused on functional health, fall risk, and more 

Behavior Change Framework 

  • Engagys has developed a proprietary framework that maps both the visible (“above the waterline”) and foundational (“below the waterline”) elements that influence member behavior. 
    • Above the waterline: Member-facing elements like communication touchpoints and channels. 
    • Below the waterline: Infrastructure such as data management, governance, and integration that supports personalized outreach. 
  • Approaches to close care gaps and drive HEDIS compliance 

Consumer-Optimized Design 

  • Engagys emphasizes creating healthcare consumer-centric experiences based on understanding the individual’s unique context and guiding them to the next best action. 
  • Member journey optimization for high-impact touchpoints 

Infrastructure and Governance Support 

  • Engagys ensures that internal systems (data, governance) are aligned and optimized to support consistent and personal member engagement. 

Cross-Departmental Alignment 

  • Facilitates shared understanding and collaboration across departments by standardizing key definitions (e.g., "engagement", "experience", "journey") and creating clear, measurable goals. 

Phased Implementation Approach 

  • Encourages a pragmatic, phased rollout of engagement initiatives—starting small to test and validate systems and build internal buy-in and momentum. 

Executive Sponsorship and Internal Communication 

  • Advises organizations on securing executive support and maintaining strong internal communications to sustain initiative success. 

Data Analysis 

  • Identify Star improvement opportunities by segment, contract, and/or geography 

We help plans integrate Stars improvement into broader consumer engagement and quality performance strategies, ensuring efforts are coordinated and scalable. 

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Whether you're focused on maintaining a 4+ Star Rating or working toward rapid improvement, Engagys brings the expertise, tools, and executional support to move the needle.