Support your members while improving performance
Our Retention Support solution uses a member-centric approach to remind, educate and assist dual, Medicaid-only and low-income subsidy (LIS) members through recertification. We use proprietary, state-specific data to identify key renewal dates and prioritize outreach, aiming to facilitate a smooth and efficient process.
Simplify identification and improve member retention
Retain Medicaid benefits for dual eligibles
Missing the Medicaid renewal grace period results in losing Part B premium reimbursement and LIS status, affecting Medicare Part D prescription drug benefits. Reapplication can take over 90 days, causing a 3-month loss of benefits and increased capitation for payers.
Member-centric, end-to-end engagement
Optum manages the entire recertification process, including live agent support and government-relations assistance for additional information requests and reapplications.
High Medicaid retention and member engagement
We pursue a 50% engagement success rate and facilitate an additional 10–20% in member retention through customized outreach and education based on state requirements.
Key benefits
Achieve proactive identification while enhancing the member experience.
Enhance engagement with coordinated outreach
Enhance member satisfaction and retention with timely, consistent and reportable communications that help maintain benefits.
Improve CAHPS scores and Star ratings
Support industry ratings by adding member benefits to help manage chronic conditions.
Support members with live advocates
Our team uses techniques that are based on behavioral science practices and real member feedback.
Let’s start a conversation
Find out how our solution could benefit your organization. Complete the form, and someone will reach out to you soon.
Our experts will:
- Discuss your individual use case and business needs
- Explain our features, benefits and services
Related healthcare insights
Case study
See how AI-powered technology and personalized member engagement are helping to identify and enroll more members into Medicaid programs.
Article
Effective patient education fosters adherence to medical treatments and promotes healthy patient behaviors, in turn facilitating successful risk adjustment and value-based care.
Case study
A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.
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Retention Support overview
Learn more about our Retention Support solution.