Improve member satisfaction
Our solutions help you boost member satisfaction and loyalty by helping Medicare members receive the valuable added benefits they are entitled to.
Full-service member advocacy solutions
Proactive identification
We use industry-leading predictive analytics to identify dual-eligible members in your population with precision. You can apply the power of machine learning to identify the likelihood of full and partial dual-eligible beneficiaries more accurately.
Easy enrollment
Our experienced associates support members with enrollment to help them complete and submit necessary forms to the appropriate state agencies. Leverage scalable, cost-effective member outreach that can help reduce member abrasion with our streamlined engagement and communications process.
We monitor Medicaid status data and advocate on behalf of members to submit appeals and help overturn denials with the support of our experienced government-relations team.
Recertification support
Ensure Medicaid status is retained through our annual engagement with your dual-enrolled members that guides them through the recertification process. Allow us to monitor Medicaid status data to ensure we can help advise members regarding redetermination dates and any eligibility changes.
Our team helps manage eligibility-dispute resolutions and provide monthly member reports to keep you informed.
Key benefits
Achieve proactive identification while improving the member experience.
Increase dual-enrolled population
We use industry-leading predictive models to help enhance dual-eligible enrollment identification.
Improve CAHPS scores and Star ratings
Support advanced industry ratings by adding member benefits to help manage chronic conditions.
Support members with live advocates
Our well-trained team uses techniques that are based on behavioral science practices and real member feedback.
Let’s start a conversation
We’re here to help you find out how our solution could benefit your organization. Complete the quick form to the right, 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
- Show how this solution can help achieve your goals
Product information and resources
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Blending AI and behavioral science to improve dual eligibility
Learn how to increase dual-enrollment applications, helping members gain the added benefits they are entitled to.