AI advancements bridge the gap to dual eligibility enrollment

Dual eligibility offers benefits for members and health plans

Millions of Medicare recipients are missing out on Medicaid programs that they qualify for. The reasons for this gap vary from a lack of awareness to skepticism and difficulties with the Medicaid enrollment process. Ultimately, members miss out on significant savings and benefits.

Optum offers a solution that combines AI technology to identify dually eligible individuals and personalized outreach to guide members through the enrollment process. Dual-eligible members receive additional benefits and health plans gain loyalty from satisfied members.

In this case study, we examine the obstacles to dual enrollment and how one health plan successfully implemented a strategy to increase dual eligibility enrollments.