Applying powerful technology to the end-to-end consumer journey means better performance, improved cost savings and better health outcomes, at scale.
A non-profit HMO serving over 750,000 lives in the states of Connecticut, Maine, Massachusetts and New Hampshire partners with mPulse to improve self-service and provider relations.
providers using the portal within the first year
decrease in call volume after implementing provider self-service tools
Improve provider satisfaction and streamline communication enabling providers to obtain accurate information through the plan’s self-serve channels.
The Provider Portal enabled real-time access to information and tools to scale claims submissions and electronic status checks, authorization requests, care management details, patient history and more.
Enable real-time visibility to reduce the need for follow-up calls for claims status as well as claims rejection rates.
Create online visibility and ease of access to improve provider satisfaction and expedite needed care for patients.
A leading health plan serves nearly 2 million members and partners with mPulse to deliver better care and improve the health of the communities they serve.
compared to control group
compared to control group
Drive historically unengaged members to close care gaps while assessing the efficacy of omnichannel outreach and its impact on related HEDIS measures.
For this program, a test group was compared to an intervention group. The intervention group received SMS, Email, or IVR communications notifying members they were due for a screening.
Compliance was defined as one visit (A1C compliance was defined as A1C control, or less than 8%.) Two proportion z-tests were done to assess statistical significance.
A leading nonprofit health plan serving 700,000+ members on the east coast partners with mPulse across strategic initiatives to deliver better health outcomes across multiple business lines while improving plan performance at scale.
increase in gap closure
Identify members with one or more open gaps and deliver targeted outreach to overcome barriers and empower action, leading to improved health outcomes and HEDIS quality improvement.
Data ingested for members across Medicare, Medicaid and Exchange lines of business. Predictive models assessed and identified which members were most to least likely to close HEDIS care gaps for the plan year.
Members flagged as high risk for having multiple open gaps were sent immediate outreach, where they were contacted early in the year by a plan representative who could further identify and assess barriers to compliance. Members who still had open gaps at the end of the plan year were sent end-of-year email outreach reminding them to schedule needed preventive care.
Reached members were compared to unreached members to assess overall impact of outreach using predictive models.
A B2B SaaS employee wellbeing company elevates employee health, retention and productivity. They license mPulse content to provide a richer, more engaging experience for their client populations.
(more than one lesson)
resource and CTA link click through rate
Embed expert-led streaming content courses and lessons within employee portals to build health literacy and improve health outcomes for client populations while increasing engagement, benefits utilization, and employee satisfaction.
Frictionless single-sign-on login experience enables members to access content relevant, meaningful content quickly, while encouraging them to come back for more.
Proprietary content was created by mPulse’s expert content team and learning designers across key well-being topics.
In-lesson CTAs and self-reported satisfaction surveys were administered to assess member satisfaction, while providing them additional support and resources.
A leading managed care organization serving ~20 million members across 16 states partnered with mPulse to improve member experience and health outcomes while protecting costs.
improvement in provider satisfaction related measures
Improve CAHPS performance and Medicare member satisfaction at scale by delivering personalized interventions based on predicted member responses to questions occurring in a future CAHPS measurement period.
Data ingested for 500K+ members across 13 H plans. Predictive models assessed which cohorts were most to least likely to respond negatively across key CAHPS performance measure areas: Plan Satisfaction, Drug Plan Satisfaction, Access, and Provider Satisfaction.
Members flagged for high risk of negative response were proactively outreached directly by a plan representative to assess and address needs. Members least likely to respond negatively were sent direct mailers to ensure the relationship remained positive.
A mock CAHPS survey was deployed to members following outreach to assess intervention success using predictive models.
A leading health plan serving Medicare members across multiple states partners with mPulse to scale their member-centric approach and offer exceptional experiences for beneficiaries.
increase in staff capacity for member conversations
Leverage high-impact and high-reach digital channels to engage more members while maintaining focus on personal connections to build trust and offer support at key moments while improving member retention and experience.
Automated dialogues were leveraged for high volume, low complexity outreach such as satisfaction surveys and member experience check-ins.
Member service staff were equipped with mPulse’s Engagement Console, a HIPPA-compliant, browser-based product that enabled them to start SMS conversations with members and transition from automated to 1:1 conversations as needed.
years of consumer engagement experience
customers across the healthcare ecosystem
digital consumer transactions annually
and HIPAA-Compliant
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