Improving Quality Without Adding More Programs

Most health plans already have care management, preventive outreach, and adherence programs in place. The gap isn't availability. It's whether members understand, engage, and follow through. SmartEngage™ helps close that gap by embedding trusted health education directly into the experiences your members already use.

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Tied to your Scorecard

Stars, HEDIS, and CAHPS performance all depend on the same thing: whether members understand what to do and actually do it.

SmartEngage supports the behavior side of the equation your existing programs already assume is happening.

Member Understanding & Action

The Problem

The Gap Behind the Gap

Health Plans are under constant pressure to improve Stars and HEDIS performance, close care gaps, and strengthen member engagement - without adding complexity to already stretched teams.

Member Icon Members may not understand what's being asked of them
Program Icon Outreach fatigue leads to disengagement, even when programs are working as designed
Portal Icon Low portal engagement limits visibility into resources already available
Healt Icon Health literacy gaps get in the way of members acting on guidance

Why It Matters Now

The Pressure is Compounding

Performance Icon Stars and HEDIS performance increasingly hinge on member behavior, not just program design
Medicaid Engagement Icon Medicaid engagement and access issues add another layer of complexity
Member Icon Member abrasion from disconnected outreach makes future engagement harder, not easier
Investment Icon Plans need ways to reinforce existing investments, not fund new ones

The result: care gap closure stalls resulting in negatively impacted CAHPS experiences

How smartengage fits in

Health Education Built Into the Member Experience

SmartEngage brings evidence-based health education into portals, care management workflows, and outreach channels members already use reinforcing preventive screenings, medication adherence, and chronic condition programs at the moments members need support most.

What SmartEngage can Improve

Management Icon

Stronger follow-through on existing care management and preventive outreach

Support Icon

Stars, HEDIS, and CAHPS performance support

Preventive Care Icon

Better chronic condition and preventive care understanding

Better Member Follow Through Icon

Improved care gap closure through better member follow-through

Information Icon

Less reliance on members having to search for information themselves

FAQs

Stars, HEDIS, and CAHPS measures often depend on member behavior and experience. Trusted education can help reinforce the behavior side of existing programs by making key information easier to understand and act on.

SmartEngage can support care gap closure efforts by reinforcing preventive care, screenings, chronic condition education, and follow-up guidance within member-facing channels. It does not replace outreach or care management, but it can help members better understand the action being requested.

Care management teams often ask members to take specific actions between touchpoints. SmartEngage can support those efforts by providing clear, trusted education that reinforces conditions, care plans, medication use, screenings, and next steps.

Members may not actively search for health information, even when resources are available. Placing education inside portals, outreach, and member experiences makes guidance more visible at the moment a member may need help understanding what to do.

SmartEngage can help members understand preventive screenings, wellness topics, and why timely action matters. By making education easier to access within existing health plan channels, it can reinforce preventive outreach already in place.

SmartEngage includes trusted health education across conditions, treatments, wellness topics, and care pathways. Health plans can use this education to help members better understand chronic conditions and the importance of ongoing follow-through.

Yes! SmartEngage can strengthen the digital front door by adding trusted, easy-to-understand education to the places where members already engage. This helps move the experience beyond transactions and gives members more useful guidance during key health moments.

Instead of expecting members to find resources on their own, SmartEngage helps place relevant education within the member experience. This can make trusted information easier to access during outreach, care navigation, portal visits, and program engagement.

SmartEngage can support teams focused on quality, member engagement, care management, preventive care, chronic condition programs, digital experience, and Medicaid or Medicare Advantage engagement. The common thread is helping members understand and follow-through.
SmartEngage Supports Payer Member Engagement

Take the Next Step Toward Better Member Engagement

Discover how SmartEngage helps health plans extend engagement beyond traditional outreach to improve adherence, close care gaps, and reach members through the digital experiences they already use.

Request a Demo