One Member, Five Open Gaps: How Leading Medicare Advantage Plans Are Coordinating Member Action
What happens when the same member is simultaneously targeted to close a care gap, complete an Annual Wellness Visit, refill a medication, schedule a preventive screening, and respond to a risk assessment? More importantly, who decides what should happen first?
As Medicare Advantage plans face growing pressure to improve performance across multiple priorities, many are recognizing that the next opportunity isn’t another campaign; it’s making smarter decisions about where to focus member attention and how to coordinate action across the enterprise.
In this Bright Spots in Healthcare discussion, Medicare Advantage leaders will share how they’re moving beyond measure-by-measure strategies to create a more coordinated approach to member action. The conversation will explore how leading organizations prioritize competing opportunities, align quality, risk, pharmacy, clinical, and operational teams around a shared view of the member, and determine when a single interaction can accomplish more than five separate campaigns.
Discussion Topics:
- How leading plans determine which member actions create the greatest downstream impact
- When multiple priorities should be addressed together, and when they shouldn’t
- Strategies for coordinating decisions across quality, Stars, pharmacy, clinical, and operational teams
- How organizations are reducing unnecessary touchpoints while improving follow-through
- What operating models are helping plans create more coordinated member action across the Medicare Advantage enterprise
If you are a health plan leader focused on closing more gaps without creating more noise, this discussion is for you.