Adapt Outreach Before Coverage is at Risk

Don’t let rapid changes muddle your strategy

Continuous coverage shouldn't depend on checking the mail

Redetermination rules keep shifting. Deadlines move. Requirements change. mPulse adapts, in real time, to keep your eligible members covered.

Redetermination has never been simple. Whether it’s a routine annual renewal, a new work requirement, or a policy update that lands with two months’ notice, one thing stays constant: members lose coverage not because they’re ineligible, but because they never got the message or didn’t know what to do with it.
mPulse exists for that gap. Regardless of how the policy landscape shifts, our job is the same: make sure the right member gets the right message, through the right channel, in time to act.

What's At Stake

Why Members Lose Coverage

Redetermination puts health plans in a tough spot, and the pressure is only building.

0 %

of coverage losses during redetermination are procedural, not eligibility-based, according to MACPAC. Members miss a form, a deadline, or a call they didn’t recognize, and lose coverage they still qualify for.

Procedural disenrollment drives most losses

Members miss a form, a deadline, or a call they didn't recognize, and lose coverage they still qualify for.

One channel isn't enough anymore

A mailer that goes unopened or a call center that goes unanswered doesn't reach anyone.

The stakes are real

Every disenrolled member is a member your team worked hard to enroll in the first place, and a person who now has a gap in their care.

Contact information goes stale fast

Addresses, phone numbers, and emails change constantly, especially in populations already navigating instability.

New requirements add urgency

As states roll out new eligibility and work-requirement rules on their own timelines, plans need infrastructure that can flex, not a one-off campaign built for a single deadline.

Delays get expensive fast

Recovery can cost $400-600 per member, and coverage that lapses even briefly adds about $212 a month compared to staying continuously enrolled.
Always-On Engagement

How mPulse Helps with Whatever Comes Next

We built our Omnichannel Engagement platform to outlast any single policy
moment. Rules will keep changing. Our approach doesn’t.

Reach members where they are

SMS, IVR, email, and web outreach, sequenced and timed so members hear from you on the channel they'll actually respond to, not just the one that's easiest to send.

Keep contact data current

Every outreach touchpoint is a chance to confirm or update a member's information, so your plan's data gets more accurate over time, not less.

Stay ready for what's next

A single, auditable communication infrastructure that flexes with new requirements, new deadlines, and new rules, rather than a system that has to be rebuilt every time policy shifts.

Say it in a way people understand

Plain-language, literacy-appropriate messaging grounded in behavioral science, built to move people to action instead of getting deleted or ignored.

Know who to reach first

Risk-based segmentation flags the members most likely to be proceduralized, so outreach goes where it matters most before deadlines hit.

Ready before the next change

New rules and shifting deadlines are the norm, not the exception. mPulse keeps your outreach current without waiting on a redesign.

Why It Matters

A member who stays covered keeps their care team, their prescriptions, their continuity. A health plan that retains members protects its revenue and its mission at the same time. Both outcomes depend on whether the member got the message, and mPulse makes sure they do.

Testimonials

Hear from Our Customers

Don't wait for CMS & the state to determine your Redetermination strategy.

See how mPulse helps health plans reach more members, reduce procedural disenrollment, and stay ready for whatever comes next.

CONTACT US

Take the First Step

Ready to revolutionize health journeys for your population? We’d love to speak with you. Fill out this short form and we’ll be in touch.