Given the continued growth in both Medicare and Medicaid membership, health plans require thought leadership and skilled execution to capitalize on the opportunity.
How We Help
We worked closely with a client marketing leadership team to develop a consumer capability roadmap that will prepare their organization with the tools, resources, partnerships, and processes to better engage with prospective and current members. We have also partnered with both national and regional clients to lead RFP and finalist presentation efforts that resulted in the growth and retention of plan membership in both the Medicare and Medicaid markets.
Star Performance Initiatives
By analyzing the most influential criteria impacting a Health Plan’s star rating, Vynamic helps clients to understand how improvements can be made. With this understanding, we can then help assess operational areas, including Customer Service, Enrollment, Claims Processing, and Patient Engagement to understand where the gap exists and how star ratings can be increased.
Risk & Compliance Analysis
Vynamic can help clients develop a robust risk stratification process, based on a comprehensive strategy of regulatory compliance, provider education, operational engagement, and clinically-driven incentive compensation.