What’s in scope.
The list below describes the standard work breakdown. Every engagement is scoped to client volume, line of business, and platform. Bespoke scope is the default, not the exception.
- 01
Member-Level Gap Closure
Stratified outreach across phone, IVR, SMS, and provider channels. Bilingual (EN/ES) at minimum.
- 02
Part D MTM Programs
CMR completion lift, targeted MTM eligibility expansion, and SUPD/Statin measure interventions.
- 03
CAHPS Readiness
Off-cycle mock surveys, member experience analytics, and intervention playbooks tied to your low-scoring drivers.
- 04
HEDIS-Star Crosswalk
Joint optimization across HEDIS hybrid and Part C clinical measures. Triple-weighted measures get triple the attention.
- 05
Provider Engagement
PCP-level performance dashboards, provider-incentive program support, and field outreach coordination.
- 06
Cut-Point Forecasting
Quarterly cut-point modeling using public CMS data and our own panel to flag which measures are about to slip.