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As we move through the second half of 2024, managed care organizations must prioritize member engagement, especially for individuals with chronic conditions. This period presents an opportunity to embrace strategies that encourage essential healthcare visits, such as annual wellness and primary care appointments.
Read on for member engagement tactics that focus on precise member identification, compelling messaging, effective communication methods, flexible visit options, and rigorous measurement.
- Precise Member Identification
Precise member identification should focus on members without a PCP visit in 2024, those with known chronic conditions (as identified through claims data review), and members with suspected chronic conditions (derived from lab, prescription, and durable medical equipment data). Collaborating with quality, HEDIS, Stars, and population health teams can enhance this process by comparing at-risk and denominator members; efforts that are conducted in concert foster a more seamless experience for the beneficiary. Leveraging data analytics to cross-reference various sources of health information will enable plans to identify the most vulnerable members accurately and prioritize them for outreach.