They say the best predictor of future behavior is past behavior. That’s why, with Q3 rapidly approaching, now is the time to bring non-compliant members into compliance and close Healthcare Effectiveness Data and Information Set (HEDIS) gaps with a targeted direct-to-member compliance campaign.
Targeted member compliance campaigns that drive members to their provider in Q3 not only help close HEDIS gaps early in the year, but they promote better patient outcomes overall. A member compliance campaign doesn’t have to be complicated. In fact, with the right campaign partners, an effective but streamlined campaign can be achieved in three simple steps:
Health plans must prioritize resources to focus greater effort on members that have HEDIS gaps. This is the time to look at Q1 data from released reports that indicate gaps in care. For health plans that work with Episource, our analytics application known as Episource Analyst can identify both HEDIS measures (STAR Measures included) and HCC gaps simultaneously. Campaigns can be targeted to members with the greatest medical need and most impact on HEDIS ratings, such as those with multiple chronic conditions.
Nurse practitioners and care coordinators make numerous outbound phone calls to high-risk members. A call-out campaign can be fed into the nurse practitioner/care management engine, for an effective and efficient way to personally reach members, remind them of needed care, and address their obstacles to compliance. While on the phone, the nurse practitioner can strive to:
Mailed pamphlets, flyers or postcards give information that can be referenced repeatedly, to:
We offer Episource Analyst to identify HEDIS care gaps, and a workflow to monitor the progress of all of your programs. Learn more about our other solutions at Episource.com.