Southern Health Plan Improves Outcomes for 85,000 Medicaid Advantage and Dual Eligible members with PDHI
Southern Health Plan Improves Outcomes for 85,000 Medicaid Advantage and Dual Eligible members with PDHI
About The Health Plan
- Medicare Advantage & Dual Eligible coverage
- 85,000 Members
- Client since 2017
Challenge
This client needed to find a health assessment that would qualify for autocredit during the organization’s NCQA accreditation process while also adhering to Medicare Advantage OEP requirements.
Solution
Single sign-on from the plan’s member portal into the ConXus member dashboard provided an easy way for members to find and complete the assessment online. Members without internet access or those needing assistance have the option to complete the assessment over the phone through the live agent call center or receive a paper version mailed to their home.
Close collaboration with the health plan produced a customized outreach journey that included a combination of live agent calls, SMS text reminders, and mailed paper surveys. Once completed, the member received a summary report online or in print.
Results
Result #1
Met NCQA Requirements
A suite of assessments that satisfied regulatory requirements and qualified for autocredit from NCQA during the health plan’s accreditation survey.
Result #2
Improved HRA Completion Rate
Since deploying this solution and applying best practices, the plan has improved their health assessment completion rate by 15%.