The Wellness Platform Built for Health Plans
PDHI’s Wellness Platform for health plans helps you design, administer, and optimize configurable programs that identify health risks, promote and reward gaps-in-care closure, and drive sustainable behavior change to meet critical quality measures.
Integrated + Holistic Population
Health Management
Our platform helps you design and administer configurable programs that seamlessly meet critical quality measures, helping you identify health risks, promote and reward gaps-in-care closure, and drive sustainable behavior change.
Flexible
Integration
White-label platform built around your brand, eligibility rules, and member portal — tailored per line of business.
Engage, Motivate, Challenge
Engage participants through effective health appraisals, self-management tools, and incentive programs.
Industry-leading Compliance
Whether used as integrated modules or a complete solution, PDHI helps you meet industry regulatory compliance and security standards.
Solutions to Meet All Your Needs
Managed Health Assessments
Fulfill state and federal health assessment requirements for new enrollees and existing plan members using digital tools and tech-enabled services. NCQA-certified and custom health assessments can address your needs across diverse populations.
NCQA Compliance
Receive automatic credit for your NCQA Health Plan Accreditation with our solutions, avoiding high costs of building and maintaining on your own. Deploy NCQA-certified health appraisals and self-management tools — directly embedded in your member portal.
Incentives Management
Incentivize members to complete healthy actions using tailored reward programs that motivate behavior change, close gaps in care, and improve outcomes.
Member Engagement + Wellness Platform
PDHI's MyJourney gives every member a personalized, guided pathway through their wellness program, surfacing the right action at the right time, from health assessments to preventive screenings to incentive rewards, while identifying health risks, promoting behavior change, and tracking progress toward measurable outcomes.
Your Partner in Deployment
Our SaaS platform was built to support scale and security, allowing you to focus on designing the best programs for your employees’ needs.
Employer groups supported
Average time to implementation
Supporting population health and wellness initiatives
How PDHI Helps Health Plans
Improve Medicare Star Ratings
Medicare Star Ratings are increasingly tied to member engagement, and the health plans improving their ratings fastest are the ones connecting wellness program participation directly to care gap closure, annual wellness visit completion, and HEDIS measure performance.
Close More Care Gaps
Faster
HRAs that qualify for NCQA autocredit help plans reduce manual documentation and accelerate gap closure across Medicare Advantage populations.
Reach Members Who Don't Engage Digitally
Phone, paper, SMS, and digital outreach in one platform, so no member falls through the cracks, regardless of how they prefer to be reached.
Tie Incentives Directly to Quality Measures
Reward members for completing screenings, assessments, and preventive visits, the exact actions that move HEDIS scores and Star Ratings.
Report on What CMS Actually
Measures
Real-time dashboards track participation rates, gap closure, and measure performance, built around the metrics health plans are accountable for.
The financial stakes
A 4-Star Medicare Advantage plan earns a 5% quality bonus and 65% rebate from CMS.
Member engagement is one of the fastest levers available to move Star Ratings and one of the most measurable.
What Health Plans Look for in a Wellness Platform Vendor
Health plans evaluating wellness platform vendors typically compare on four criteria:
NCQA-Certified Assessments
Health risk assessments that qualify for NCQA autocredit during accreditation surveys, no manual documentation required.
Multi-Channel Member Reach
Reach Medicare Advantage, Medicaid, D-SNP, and commercial members through digital, SMS, paper, and SMS, in one platform.
Configurable Per Line of Business
Tailor programs, branding, eligibility rules, and incentives separately for each population, all from one admin layer.
Real-Time Outcomes Reporting
Track HEDIS measures, gap closure rates, and member engagement in dashboards built for health plan reporting cycles.
See Our Solutions in Action
Close Gaps in Care for 85,000 Members
A Southern Medicare Advantage and Dual Eligible plan increased HRA completion rates by 15% and earned NCQA autocredit, reaching members by digital, phone, and paper with PDHI's ConXus platform.
Close Gaps in Care
A California Medicaid plan improved internal outreach and care management using the data collected with the ConXus Platform, resulting in fewer care gaps.
Meet Quality Initiatives
See how a Midwestern health plan uses PDHI to streamline wellness and population health, close care gaps, and deliver assessments for 350,000 members—driving quality initiatives for over 15 years.
Engage + Retain Members
A Northern Health Plan upgraded its health assessment process for its 300,000 Medicaid, Medicare, and commercial members to engage its members using the ConXus Platform.
Can the platform handle multiple lines of business under one administration layer?
Yes. Configure distinct experiences by line of business — Medicare Advantage, Medicaid, commercial — while managing eligibility, incentives, and reporting from a single admin layer.
How does PDHI support quality improvement and gap closure?
The PDHI Health Assessment is a certified HRA that supports NCQA accreditation, including auto-credit recognition, and feeds care management workflows to close gaps in care.
Can the platform scale to large member populations?
Yes — one Midwestern health plan has used the PDHI Platform to serve more than 350,000 members for over 15 years.
Can member experiences be personalized by population segment?
Yes. The platform supports multi-population segmentation, so you can deliver targeted programs, communications, and incentives based on health risk, plan type, or member demographics.
How does PDHI support Medicare Star Ratings improvement?
PDHI improves Medicare Star Ratings through NCQA-certified health assessments that qualify for autocredit, incentives tools that drive HEDIS-linked participation, multi-channel member outreach, and 55+ real-time dashboards for care gap tracking.
Ready to Elevate Your Member Engagement Strategy?
From closing care gaps to meeting compliance requirements to improving member satisfaction— let's explore how our flexible, proven solutions can support your goals.
