Engagement solutions

Drive member action and higher-quality care
with multichannel engagement

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Motivate members to act

Health plans' top priorities depend on effective member engagement: when members actively engage with their plan, everyone benefits. Their health and satisfaction improve, and plans achieve better quality ratings, which improves their financial sustainability. But to effectively influence member behavior, plans must target the right member with the right message at the right time—an increasingly difficult task amid an oversaturated communications landscape.

Cotiviti's Engagement solutions empower health plans with multi-channel communications to cut through the noise and deliver tailored, impactful messaging directly to members. Instead of one-size fits all communications, plans can deliver personalized, relevant information to members at the right time through the channels most likely to reach, inform, remind, and motivate them to act. Integration between Cotiviti's Quality Intelligence and Engagement Hub solutions empowers plans to connect their member engagement efforts directly to higher quality scores.

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Drive a tangible impact on health outcomes

Our Engagement solutions drive meaningful improvements to member health. In one measurement year*, members who received targeted communications about a clinical gap had a:

7.7%

higher rate of gap closure for the Breast Cancer Screening measure

3.6%

higher rate of gap closure for the Cervical Cancer Screening measure

6.2%

higher rate of gap closure for the Child and Adolescent Well-Care Visits measure

7.8%

higher rate of gap closure for the Colorectal Cancer Screening measure

*Based on selection of Cotiviti clients during HEDIS® Measurement Year (MY) 2024. Results may vary depending on factors including but not limited to usage and application.

Cotiviti's Engagement solutions

Drive member action that connects directly to improved health outcomes and quality scores with our Engagement solutions. Click on each icon below to learn more.

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Eliza Member Engagement

Drive member action and improve health outcomes with better engagement

Eliza is a multi-channel member engagement solution which leverages behavioral science, technology, and data to create tailored outreach. These are delivered through the channels most likely to reach, inform, and persuade while ensuring members receive information that is relevant to them, cutting back on the noise, and creating a more positive experience.

  • Break down barriers to engagement
  • Create personalized two-way conversations
  • Enable multi-channel, intelligent interventions

Learn more about Eliza

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Engagement Hub

Optimize member identification and outreach

Engagement Hub brings together the quality measure logic and reporting of our 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 empowers plans to:

  • View member-level insights including gaps in priority measures
  • Create, assign, and prioritize member-level target lists
  • Initiate standard campaigns and monitor member education and engagement activity

Learn more about Engagement Hub


Eliza Member
Engagement
 
 

Cotiviti’s Engagement solutions are a crucial pillar of our Health Enablement portfolio. With a focus on driving more informed decisions, Cotiviti’s Health Enablement solutions enable health plans to knock down internal silos and improve efficiency. Plans can effectively collaborate within their own teams, with their provider networks, and directly with their members to enable better care.

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Download the Engagement brochure