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.
Learn More:
- Medicare Solution Brief
- CAHPS
- Condition and Care Management
- Excellent Health Outcomes for All: Health Equity
- Gaps Closure
- HEDIS
- HOS
- Pharmacy
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.