Disrupting Medicaid Redetermination: Say Goodbye to Procedural Blockers
In 2023, 68.7% of Medicaid disenrollments were procedural: members lost coverage over red tape, not eligibility. With H.R. 1 changes due by January 2027, see how the mPulse and Mirza end-to-end redetermination solution helps members keep coverage and cuts plans’ retention costs.
mPulse Expands Connected Platform and National Capacity in Q2 2026
New Medicaid redetermination partnership with Mirza, Inflection Points launch, and new Phoenix Regional Operating Center accelerate mPulse’s HXI platform.
mPulse Introduces Inflection Points to Help Health Plans Turn Member Data into Timely, Personalized Action
Always-on engagement module combines advanced analytics, next-best-action orchestration, multichannel outreach, and closed-loop reporting to act on meaningful member moments and measure outcomes.
Meeting Medicaid’s New Community Engagement Requirements: Why Communication Strategy Matters for Compliance
As CMS sets a 30-day clock for member outreach, the line between members who keep their coverage and those who lose it will come down to communication clarity. Learn what the Interim Final Rule requires, who it applies to, and how plans can deploy compliant, plain-language outreach before the mandatory window closes June 30, 2026.
Meeting Medicaid’s New Community Engagement Requirements
As CMS sets a 30-day clock for member outreach, the line between members who keep their coverage and those who lose it will come down to communication clarity. Learn what the Interim Final Rule requires, who it applies to, and how plans can deploy compliant, plain-language outreach before the mandatory window closes June 30, 2026.
Modernizing Utilization Management Communications to Meet CMS Prior Authorization Requirements
Learn how health plans can modernize utilization management communications to meet CMS prior authorization timelines, improve notification compliance, and reduce operational strain.
Improving CAHPS, HOS, and Retention through Scalable, Personalized Engagement Strategies
Quality improvement teams, fresh off the latest Star Ratings release, are again feeling pressure to improve member experience, reduce abrasion, and strengthen Stars performance. Many of the plans we partner with lean on AI and advanced engagement technology to do this successfully—and their results offer valuable lessons for what works. What’s changing in CAHPS, HOS, […]
How to Improve CAHPS Performance: An Action Plan for 2026
CAHPS surveys have long been central to measuring health plan performance, but their influence has grown significantly. With member experience now carrying greater weight in Star Ratings, plans must move beyond treating CAHPS as a compliance exercise. It is no longer enough to simply measure member experience — the challenge is to improve it in […]
Activate2025: Key Themes and Takeaways
Key Insights for Advancing Trust, Innovation, and Member-Centricity in Healthcare In recent years, trust has taken center stage in healthcare, forming the foundation for effective relationships among patients, members, providers, and health plans. However, the increasing complexity of healthcare creates barriers between constituents and makes it harder to establish and maintain trusting relationships. AI presents […]
CMS is Sunsetting Standard Direct Enrollment (SDE): What Does This Mean for Carriers?
On August 25, the Centers for Medicare and Medicaid Services (CMS) announced that it is discontinuing Direct Enrollment for performance year (PY) 2026. Here’s an overview of what carriers should know: When does this update take effect? CMS’ SDE service will be disabled on October 31, 2025. What should carriers do to prepare? Carriers who […]