Redetermination rules keep shifting. Deadlines move. Requirements change. mPulse adapts, in real time, to keep your eligible members covered.
Don't let rapid changes muddle your strategy
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.
Redetermination creates real pressure for health plans, but the right outreach can help more eligible members stay connected to the coverage and care they need. By reaching members before forms, deadlines, or missed messages become barriers, plans can protect hard-won enrollment and support better continuity of care.
This is where engagement strategy becomes more than a communication function. To keep members covered, plans need outreach that can adapt to three realities shaping redetermination today.
of eligible members in 2023 lost coverage due procedural errors¹
Recovery, per member, can cost between $400-600 for health plans²
per member per month increase in coverage costs when comparing members who have 6 months of coverages vs. 12 months of coverage²
Whether you’re a state that is looking to comply with the ever-changing CMS rulings or a health plan trying to retain members, mPulse’s solutions will meet your needs.
mPulse covers the full spectrum of member engagement, from digital outreach (SMS, email, IVR) to print-on-demand. Deliver white-labeled engagement solutions that are timely, actionable, and relevant. From regulatory-compliant letters to behaviorally tailored outreach, mPulse has your engagement strategy covered.
Avoiding complex regulatory language, mPulse uses plain language to make each engagement touchpoint easy to engage with, every time. Grounded in behavioral science, health communication, health equity, and literacy best practices, mPulse programs empower rather than overwhelm.
mPulse’s HXI platform coordinates touchpoints to be delivered to the right member, at the right time, every time. Moving away from abrasive, overwhelming messages.
Every continuous enrollment protects more than coverage. It safeguards care teams, active prescriptions, and critical health outcomes. When health plans retain members, they protect their revenue and advance their core mission. Achieving both comes down to one critical factor: ensuring the message reaches the member. That is where mPulse delivers. Discover how mPulse enables health plans to expand member reach, minimize procedural disenrollments, and remain resilient amid evolving regulations.
“Medical Mutual is committed to improving the lives of our members by offering high-quality products and services. Each member’s experience with their health plan is critically important to us because it provides them with the right foundation to lead happier and healthier lives. Decision Point has enabled us to further our mission by helping us engage members more effectively.”
“mPulse enables us to leverage our information assets in a way that helps us enhance the quality of care provided to our members. These initiatives have resulted in more satisfied members and a double-digit reduction in avoidable hospitalizations.”
“Maintaining our high-quality standards to serve our patients to the best of our ability, lies in understanding our patients’ needs, preferences, and individual healthcare journeys. Our partnership with Decision Point has proven valuable in ensuring that we are making the most of our data assets and translating the insights derived into first-rate patient care and experience.”
“Engaging our members in their health is a top goal for us. Personalized and interactive text messaging with help SCFHP drive member portal adoption and close gaps in care, improving outcomes for our members and our organization.”
“mPulse’s understanding of the Medicaid population and insight-driven mobile engagement solution has enabled us to connect and engage in two-way dialog with our members, a conversation that’s led to improved knowledge of our services, generating better health outcomes.”
“mPulse’s solutions are based on its deep understanding of the unique challenges health plans face in managing Medicaid and other vulnerable populations, and it’s demonstrated time and again its ability to design effective mobile engagement strategies.”
“Shield Healthcare is focused on delivering innovative, consumer-focused solutions to market. Partnering with mPulse to deploy an interactive, text message-based reorder solution for our consumers has raised our level of service and improved customer satisfaction.”
“You sent me two reminders to get a mammogram lol. I freaking hate them and put it off for years since it runs in my family. Thanks for the push, they found a small tumor and I was told if I had waited another year I would’ve needed chemo. Thank you thank you!”
“Thanks for texting me. I know I needed to do the colonoscopy, but I was looking for excuses to not go and needed some encouragement to do the dreaded preparation steps.”
“mPulse takes this complex and diverse mobile market and creates simplified solutions to engage consumers. mPulse knows how to engage consumers given the rapidly changing market today. The new healthcare focus really illustrates their combined expertise and shows that they are committed to our industry.”
See how mPulse helps health plans reach more members, reduce procedural disenrollment, and stay ready for whatever comes next.
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