Wellth

Doubling down on a daily member relationship is going to pay dividends for most MA plans. Here's why: 1️⃣ CAHPS and HOS now carry weight most plans aren't ready for. You can't survey your way to a better score. Members answer those questions based on how they feel about their plan, and that feeling gets built (or destroyed) every day of the year. 2️⃣ A member who hears from their plan once a quarter, usually being asked to do something, doesn't report feeling supported. A member with a positive daily touchpoint does. 💡 Wellth members carry NPS scores of 75 to 88+ across programs, and that sentiment is exactly what CAHPS and HOS measure. Watch the highlights from our recent Star Ratings webinar.

CAHPS isn't a survey problem. It's a relationship problem. That's the takeaway from Julie Smith, MPH, BSN, RN, Chief Clinical Officer at Sanford Health Plan, on our recent Star Ratings webinar, where she shared how Sanford Health Plan is approaching the measures plans can't control administratively anymore. Here's what the daily relationship looks like in practice: Wellth members average 1,100+ touchpoints a year. Daily check-ins that build trust, then surface the right action at the right moment: an A1C check, a blood pressure reading, a doctor's appointment, or one of many other care gaps closed. The result at Sanford: improvement across Part C and D quality measures, including CAHPS and HOS, and a member NPS of +73. When members feel that way about a daily touchpoint from their plan, the survey takes care of itself.

What does it look like when a health plan has a real daily relationship with every member? Tomorrow we're getting into it. Swipe through, then join us for a virtual panel with people doing this work firsthand. 🗓️ Thursday, June 11 @ 10am PT / 1pm ET ➡️ https://lnkd.in/g5FJQeRx

We're hosting a virtual conversation next Thursday, June 11, to showcase how plans are building daily member engagement into their clinical and quality strategy with Jessica Muratore, Strategic Healthcare Consultant, Julie Smith, MPH, BSN, RN, Chief Clinical Officer at Sanford Health Plan, and Autri Chattopadhyay, Chief Strategy Officer at Wellth. Tune in to discuss: ⭐️ Why the traditional member engagement stack fails in a behavior-dependent Star Ratings environment. 🤝 How plans are rethinking what daily member engagement looks like in this new era. ❓ Q&A with the panelists RSVP 👉🏻 https://lnkd.in/g5FJQeRx

For Becky, Wellth Rewards means more than reminders. It means: 💊 Taking medication on time 🩸 Checking blood pressure & glucose 🥗 Groceries for her family 🚗 Gas for the car “When I see $25 in my account, I know that’s $25 worth of groceries we can get.” Better health starts with real support in daily life. ☀️

🎡 Ready to spin & win? 🎡 We’re bringing our Prize Wheel to the California Association of Health Plans Annual Conference in Palm Desert (Sept 29–Oct 1)! Stop by the Wellth booth for your chance to spin for prizes — including a Golfer’s Essentials Kit — and learn how Wellth is helping California health plans deliver strong ROI and better outcomes. Don’t miss your shot at insights and prizes!

Managing a self-funded health plan doesn’t have to mean drowning in claims, compliance, and endless admin. That’s where TPAs (third-party administrators) step in—streamlining operations, cutting costs, and ensuring compliance, while helping plans deliver stronger outcomes. But how do TPAs compare to insurers or ASOs? And why are they more important than ever? Find out in our complete guide: https://hubs.la/Q03JCxHD0 #HealthcareAdministration #SelfFundedPlans #TPA #HealthEquity

Managing conditions like cholesterol and blood pressure comes down to one thing: consistency. Jon’s story shows how Wellth helps transform daily adherence into lasting habits. By keeping members consistent with medications and healthy routines, health plans see stronger outcomes and measurable progress on the quality measures that shape Star Ratings success. #ValueBasedCare #MedicationAdherence #HealthOutcomes

Success with HOS isn’t really about the survey itself, it’s about everything that happens around it. The plans that excel don’t wait for survey season. They’re focused year-round on the everyday touch points that shape how members feel, engage, and manage their health. Check out our step-by-step framework for improving HOS, and outcomes with proactive behavior-centered strategies: https://hubs.la/Q03JQ-mc0 #HOS #StarRatings #MedicareAdvantage #MemberEngagement #DigitalHealth #BehavioralScience #CareManagement #ValueBasedCare

🧠 Behavioral Science + 🤝 Smarter Engagement = 🏥 Fewer Readmissions Hospital readmissions are costly, but they’re also often preventable. The key? Moving from reactive care to proactive strategies that address the behavioral drivers behind readmissions. With the right nudges, incentives, and habit-building support, health plans can boost adherence, improve outcomes, and cut costs. 👉 Explore how behavioral science can reshape your readmission strategy: https://hubs.la/Q03JCt4f0 #BehavioralEconomics #ReadmissionReduction #HealthOutcomes #PatientEngagement #HealthcareStrategy