MEMBER ENGAGEMENT

From Diagnosis to Recovery

Closing the Engagement Gap in Cancer Care

Cancer care is a journey, not a single moment in time. From the anxiety of diagnosis to the intensity of treatment and the uncertainty of survivorship, patients must navigate a complex web of medical decisions, provider appointments, financial considerations, and emotional stress.For health plans and TPAs, the challenge is keeping members engaged throughout the entire process. Gaps in engagement lead to missed appointments, delayed treatments, and poor adherence to care plans, all of which can negatively impact patient outcomes and drive up costs. Yet, traditional outreach methods often fail to support members when they need it most.The reality is stark: A member’s ability to remain engaged in their cancer care directly affects survival rates, treatment success, and overall healthcare costs. But with proactive, personalized engagement strategies, plans can shift from reactive problem-solving to truly supporting members in ways that improve adherence, reduce complications, and enhance the member experience.

The Hidden Costs of Cancer Care Disengagement

When members disengage from their cancer care, the consequences can be severe. Missed chemotherapy sessions or radiation appointments can reduce treatment effectiveness. Skipped screenings delay early detection, leading to more advanced and expensive interventions. Poor adherence to medication regimens increases the likelihood of recurrence or complications.Even after active treatment ends, the engagement gap persists. Many survivors struggle with post-treatment side effects, long-term medication adherence, and mental health challenges, yet few receive ongoing engagement to support them in this critical phase. Without structured follow-ups, members are left to navigate survivorship alone, increasing the risk of complications, readmissions, and lost quality of life.Cancer is not a singular event; it is a continuum of care. Engagement strategies must evolve to match this reality.

A Smarter Approach to Cancer Care Engagement

To truly close the engagement gap, health plans must move from transactional outreach to proactive, data-driven engagement that anticipates challenges and delivers support before issues arise.A smarter engagement model starts with predictive analytics that identify members at risk of disengagement, missed treatments, or complications. By analyzing claims data, treatment schedules, and behavioral patterns, payers can intervene before gaps occur, rather than reacting to problems after the fact.Personalization is key. Instead of generic outreach, engagement should be tailored to the individual’s condition, treatment stage, and personal barriers. A member undergoing radiation therapy may need appointment reminders and symptom management support, while a survivor may require long-term medication adherence coaching and mental health check-ins. Engagement must be dynamic, evolving alongside the member’s needs.

How Clarity Performance Solutions Helps Close the Gap

At Clarity Performance Solutions, we specialize in turning engagement into action. Our predictive analytics and AI-powered member engagement platform help health plans and TPAs proactively identify and support members throughout their cancer care journey.We combine real-time risk stratification, personalized outreach, and multi-channel communication to ensure members receive the right support at the right time. Whether it’s reducing missed treatments, improving medication adherence, or supporting survivors in their post-treatment phase, Clarity’s solutions are designed to improve quality scores, reduce costs, and drive better member experiences.Cancer care doesn’t have to be fragmented. With smarter engagement strategies, we can empower members, improve outcomes, and create a more connected, patient-centric care experience.

Cancer Care Starts Here

Help your members go from diagnosis to recovery with Clarity.