Sometimes they are referred to as “unreached,” or “rising-Risk,” or “no-contact,” or some other internal label.
Regardless of what they are called, members with whom the usual attempts to engage them have failed demand more attention from healthcare. Leading organizations have begun looking for alternatives to the diminishing results of traditional outreach methods.
This paper shows the key considerations and best practices for driving outcomes for hard-to-reach members and real examples of how plans have leveraged Conversational AI technology to expand existing engagement efforts, impact key quality metrics, and transform how they are able to deliver care for their members who need it most.
previously unengaged members who responded to outreach
of all targeted hard-to-reach members completed needed screenings (5,353 total gap closures)
increase in blood sugar gap closure than the comparison group
mPulse, a leader in digital solutions for the healthcare industry, is transforming consumer experiences to deliver better, more equitable health outcomes. By combining AI-powered analytics, omnichannel outreach and digital health navigation technology, mPulse creates personalized health journeys and provides advanced insights to facilitate collaboration across the healthcare ecosystem. With over a decade of experience and 4 billion consumer touchpoints annually, mPulse is the trusted health experience and insights partner for over 400 healthcare organizations.
