Medicare Gaps in Care
Boosting engagement for urgent care patients after visits
Customer
Large national payer with over 4 million Medicare-covered lives
Population
Hard-to-reach Medicare Advantage members
Goals
Close gaps in care for members who had open gaps and had not responded to multiple previous outreach efforts in key Star Rating measures: C02: Colorectal Cancer Screening, C10: Diabetes Care – Kidney Disease Monitoring, C11: Diabetes Care – Blood Sugar Controlled
Solution
mPulse Mobile’s Medicare Preventive Screenings Solution was implemented for members who had open gaps in multiple western US MA plans in December 2019. Over 77,000 members received targeted automated reminders to close their gaps before the end of year—with outreach only starting on Dec 13.
Results
10.5pp improvement in C15 – A1c Controlled closure (19.5% v. 9.0%)
Social Isolation – COVID-19
Customer
A leading Medicaid MCO in the Midwest with ~345,000 members
Population
Older bilingual Medicare population consisting of over 85k members
Goals
Combat social isolation among older and more vulnerable Medicare members by sending fotonovelas via text message outreach to help Medicare members stay active, positive and connected while at home
Solution
Members received web-based links to fotonovelas in either English or Spanish which consisted of 6 stories with vignettes tailored to their age. The stories provided coping strategies, tips and ideas and had a theme such as staying connected, cooking together, being active, trying new hobbies and working from home.
Results
A total of 7.5% of members clicked a total of 8,177 times on the link and 36% responded to the follow-up question. 80% “loved” or “liked” the fotonovela