Clarity Performance Solutions logo in brand colors of grey, dark blue and light blue.
Clarity Performance Solutions logo in brand colors of grey, dark blue and light blue.

MEMBER ENGAGEMENT

Screen Smarter

Solving HEDIS Screening Challenges with Precision Analytics

Medicare Advantage plans face a persistent challenge: ensuring members complete life-saving cancer screenings while maintaining strong HEDIS scores to protect Star Ratings and reimbursements. Despite full Medicare coverage for preventive screenings, many beneficiaries skip essential tests due to confusion, mobility issues, or lack of engagement – jeopardizing both their health and plan performance.Traditional outreach methods often fail to close these gaps, leaving compliance rates stagnant and operational costs rising. The problem isn’t awareness alone – Medicare members face unique barriers that require smarter, more proactive engagement strategies.

Addressing Screening Gaps

Addressing Medicare HEDIS screening gaps requires a more strategic, data-driven approach to member engagement. Instead of relying solely on traditional outreach methods, plans must implement precision strategies that connect with members at the right time, through the right channels, with the right message.Here’s how Clarity is solving HEDIS screening challenges:
1. Leverage Predictive Analytics for Targeted Outreach

Not all members need the same level of intervention. Predictive analytics can identify Medicare members most likely to skip screenings, allowing plans to focus outreach efforts where they will have the most impact. By analyzing claims history, engagement behavior, and demographic data, payers can ensure proactive interventions before compliance gaps occur.

2. Deliver Personalized, Multichannel Communication

Medicare members engage with healthcare information differently than younger populations. A one-size-fits-all approach – such as mailing reminders – often results in low response rates. Instead, engagement efforts should be:

  • Multichannel: Incorporating phone calls, text messages, caregiver outreach, and digital notifications.
  • Personalized: Tailoring messages to individual member needs, ensuring clear, accessible information about coverage and scheduling.
  • Action-Oriented: Using behavioral insights to craft messages that drive immediate action rather than passive awareness.
3. Address Logistical Barriers Head-On

For many Medicare members, awareness isn’t the issue – access is. Plans that proactively offer scheduling assistance, transportation support, and telehealth alternatives see higher screening completion rates. Ensuring members have easy pathways to complete their screenings removes a critical engagement barrier.

A Smarter Approach to Medicare Cancer Screenings

Ensuring Medicare members complete their cancer screenings requires more than just reminders – it demands precision outreach, predictive analytics, and member-centered engagement strategies. By focusing on proactive intervention and personalized communication, plans can turn gaps into gains – driving better health outcomes and stronger HEDIS performance.At Clarity Performance Solutions, we help Medicare Advantage plans close screening gaps with data-driven, tailored engagement strategies. Discover how to screen smarter today.

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