Member Outreach

Health insurance plans — both public and private — are rapidly expanding upon implementation of the Affordable Care Act. Plans are enrolling large volumes of new members, including new Medicaid recipients, individuals who were previously uninsured, and people with complex health care needs. Additionally, federal oversight for Medicaid and Medicare plans has made the member experience increasingly important, as plans are rated based on satisfaction, enrollment, and health care outcomes.

We have prioritized the member experience across all levels of services we provide for health plans. Our member outreach offerings include the following:

  • Welcome calls to engage members upon enrollment
  • Health risk assessments
  • Medication adherence outreach calls
  • Targeted Adherence Counseling
  • Comprehensive and targeted medication reviews
  • High-risk medication interventions
  • Member satisfaction surveys
  • Appointment scheduling and reminders
  • Referral follow-ups
  • Benefit coordination

Whether your organization is looking to simply engage and assist members, or develop targeted solutions to improve health outcomes, we can provide a solution to meet your needs. Our resources include the following:

  • A customer service contact center operated by our business affiliate, UHealthSolutions
  • A clinical call center functionally operated by pharmacists and pharmacy associates
  • Multilingual staff and translation/interpretation services