Welltok Reduces Medicare Disenrollment by 30% with Data-Driven Communications

DENVER, July 9, 2019 /PRNewswire/ -- The average Medicare Advantage plan turns over about 10% of its members every year, and for a 100,000 member plan, that can equate to about $110 million in lost premium reimbursements as well as a decline in Star ratings. This is why retaining members is a top priority among health plans. Welltok's Medicare Retention Solution has helped leading Medicare plans reduce disenrollment rates by up to 30%, improve disenrollment-related Star ratings from 2.5 to 4 and retain up to $97 million in premiums.

Today's seniors have more coverage choices and higher expectations, making it essential for plans to proactively pinpoint members at risk for disenrollment and intervene. Welltok's Medicare Retention Solution does exactly that by leveraging proprietary consumer data, including social determinants of health and machine learning. The analysis identifies key predictors, including copays, healthcare services utilization, available competitive plan options and demographic factors, such as number of adults in the household, voting status and affluence. This helps determine who would be most receptive to disenrollment prevention outreach and likely to stay with the plan. The solution then delivers a one-of-a-kind, personalized and year-round member experience designed to drive retention. Welltok also helps ensure plans stay compliant with the latest guidelines and industry-leading security standards.

"To support retention, we offer a coordinated engagement model that delivers a tailored experience designed to help plans engage and activate members, starting on day-one of enrollment," said April Gill, vice president of market solutions for Welltok. "We also help plans know exactly where they stand with members, and when action is required to conduct targeted outreach effectively to retain members and improve satisfaction."

Whether it is regulatory communications like an Annual Notice of Change (ANOC) or regular reminders of plan value and available benefits, Welltok brings it all together and makes it easy to personalize, target and measure impact. The result is a seamless experience built to keep members engaged, informed and active. Specific ways Welltok's solution helps tackle disenrollment include:

    --  Disenrollment Prevention: Start by facilitating a better welcome
        experience and support members with tailored communication for plan
        benefits and changes. Additionally, leverage predictive analytics and
        machine learning to identify who is most likely to disenroll and
        proactively reach out to them to address potential concerns and ensure
        loyalty before annual election period (AEP).
    --  ANOC Best Practice: ANOC can cause stress for members, which is why it
        is important to ensure members feel supported and are reminded of plan
        value. Prepare members for upcoming changes by providing educational
        resources to members, personalized to their severity of change level.
        Leverage effective channels such as automated voice (IVR), text and
        email, and seamlessly transfer to high-touch customer support only when
        needed to keep costs down and members happy and informed.
    --  Open Enrollment Period (OEP) Best Practice: Protect against member
        poaching at the most critical time of year. Cost-effectively capture
        member communication preferences early to streamline engagement and
        improve satisfaction all year long. Meet people where they are with the
        right message and combination of automated calls, email, interactive
        messaging, direct mail, web or live agent calls based on preferences and
        needs.

Learn more about Welltok's Medicare Retention Solution or request a demo here.

About Welltok, Inc.
Welltok is a data-driven, enterprise SaaS company that delivers the healthcare industry's leading consumer activation platform. Welltok's solutions empower leading health plans, employers, providers and public entities to connect consumers with personalized health improvement resources, making it easy and rewarding for consumers to complete actions that optimize their health and wellbeing. Only Welltok leverages a machine-learning, multi-channel approach proven to help innovative organizations power growth and retention initiatives, improve healthcare value, and streamline the consumer experience, while upholding the highest security and compliance standards. Follow us on Twitter @Welltok.com.

Media Contact:
Erica Sniad Morgenstern
415.697.3496
pr@welltok.com

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SOURCE Welltok, Inc.