How one Medicare plan impacted HEDIS,
risk and retention in just 3 months



It’s the second half of the year and your plan performance is below target. To many Medicare plans in this situation, it might seem like it’s simply too late to boost vital metrics like Star or HEDIS scores, appropriately capture more risk opportunities, or significantly impact member retention. And when it comes to launching a mid-to-late-year engagement program to move the needle on performance—the effort might seem to far outweigh the reward. But at NovuHealth, we know that’s a fallacy: It’s never too late for an engagement program—and we have the data to back it up.


We partnered with a leading Medicare Advantage health plan to improve Star measure performance and lay the foundation for an ongoing member loyalty program. To do this, we designed a customized engagement program to close gaps among a specific number of members in a short period of time. How short? Well, the program launched in October to a population of 120,000 highpropensity members. We focused on the non-compliant, high-propensity member population.

To make a big impact in a matter of months, we targeted only those measures that would have the biggest impact on Star quality ratings, risk adjustment and overall plan performance—like the Annual Wellness Visit. Members received communications through NovuHealth channels—as well as the plan’s existing channels—to integrate the rewards and engagement program messaging into existing touchpoints. This allowed us to provide a seamless, user-friendly experience to members, increasing satisfaction, participation and gap closure—ultimately laying the foundation for a more robust, larger-scale program in the next year and boosting member retention.



Time is just one of the many factors that contributes to the design of an engagement program. When time is limited we can increase incentives, communications and audience focus to deliver business results. Executing a program in the second half of the year allows for a design that centers on the right members. At NovuHealth, we leverage consumer loyalty best practices to deliver business objectives, year-round.


NovuHealth is the leading healthcare consumer engagement company, offering rewards and incentive programs that improve consumer health and plan performance. NovuHealth applies proven loyalty and data science strategies and leverages its deep industry and regulatory expertise to motivate high-value consumer activities. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served more than 15 million consumers across all 50 states.

To make a big impact in a matter of months, we targeted only those measures that would have the biggest impact on Star ratings, risk adjustment and overall plan performance.