Engagement Hub

The lack of strategic insight into member activity across the health plan enterprise has led to declining quality scores. As quality programs such as HEDIS^® and Star Ratings continue to place emphasis on health equity, health plans require predictive analytics to close care gaps and meet performance benchmarks—yet lack a central location to manage all campaigns and view member gaps across the population and measure set. Fragmented projects are leading to multiple outreaches and duplicate efforts, often resulting in increased member abrasion.

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Cotiviti's Engagement Hub drives coordination and efficiency by optimizing member identification and outreach, reducing wasteful administrative costs, and tracking outreach to measure goals.

Engagement Hub brings together the quality measure logic and reporting of our Best in KLAS^® Quality Intelligence solution with the member engagement and activation capabilities of Eliza® to set the standard for efficiency, ease-of-use, and customer satisfaction.

Plans can use Engagement Hub to create optimal target lists by prioritizing members using key indicators, such as propensity to engage, overall gap weights, and socio-economic factors. From there, they can deploy outreach to these populations, optionally launching standard campaigns from our included library.

Engagement Hub benefits and features

Engagement Hub provides a member-centric platform for plans to view members holistically across quality measures, identifying care gaps in need of closure. This empowers health plans to:

• Develop data-driven strategies using measure and member-level details to focus resources on the populations that would most benefit.
• View member-level insights including gaps in priority measures, SDoH factors, propensity to engage, and a holistic view of campaign participation to better understand the levers to push and initiate action to meet plan goals.
• Create, assign, and prioritize member-level target lists from the eligible populations to favorite or bundles of measures.
• Initiate standard campaigns from our library and monitor all member education and engagement activity, including your existing member engagement programs, to drive gap closure.
• Improve quality, reduce costs, generate incremental revenue, and create a more satisfying member experience through personalized conversations and access to centralized member engagement campaign reporting.