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How Health Plans Can Strengthen Quality Scores, Increase Ratings and Drive Performance by Measurably Improving Member Adherence

Medication nonadherence is a $500 billion annual problem for the U.S. healthcare system. For health plans, nonadherence leads to an array of issues for both members and their business. Members suffer not only from worsening health outcomes, but also lower satisfaction with their chosen health plan, leading to lower retention. Health plans also see increased costs from ER visits and hospitalizations and overall poor quality scores and ratings, negatively impacting their bottom-line.

With the right engagement and clinical care strategy, health plans can measurably and consistently improve member adherence and resulting health outcomes. This increases quality scores and ratings, improves member retention and powers plan performance and profitability.

Our new STARS Playbook (Solutions That Accelerate Ratings Success) combines EnlivenHealth’s proven adherence technology solutions, unparalleled national pharmacy network, cutting-edge communications, and data analytics capabilities. Our proven Playbook is designed to empower health plans to achieve a significant improvement in member adherence and retention and strengthen overall plan performance. 

The STARS playbook features proven “plays” for health plans around the following key adherence- and performance-driving topic:  

  • The importance of intelligent member targeting
  • Orchestrating effective member engagement and communications
  • Utilizing proven platforms to increase member engagement
  • And more!

Health plans can start planning today on how to significantly improve member adherence, engagement and retention by downloading the full EnlivenHealth™ STARS Playbook here