Member Engagement and Quality Improvement

At Pendleton Advisory Group, we recognize the critical role that member engagement plays in achieving optimal health outcomes and driving improvement in key quality ratings such as HEDIS (Healthcare Effectiveness Data and Information Set) and CAHPS (Consumer Assessment of Healthcare Providers and Systems). We offer tailored solutions to Managed Care Organizations (MCOs), Accountable Care Organizations (ACOs), and other clinical practices seeking to enhance member engagement and elevate quality performance.

Personalized Member Outreach

Engaging members effectively requires personalized communication strategies tailored to individual preferences and needs. Our team employs a multi-channel approach, including phone calls, emails, SMS, and targeted mailings, to connect with members who may be difficult to reach or at risk of disengagement. By fostering meaningful interactions, we empower members to take an active role in managing their health and accessing necessary services.

Care Coordination and Navigation

Navigating the healthcare system can be daunting for many members, particularly those with complex medical needs or chronic conditions. We provide comprehensive care coordination services to support members in accessing appropriate care, coordinating referrals, and managing transitions across care settings. By facilitating seamless communication among providers and ensuring continuity of care, we enhance the overall member experience and improve health outcomes.

Health Education and Wellness Programs

Empowering members with the knowledge and resources they need to make informed health decisions is essential for driving positive outcomes. We develop customized health education materials and wellness programs tailored to the unique needs and preferences of your member population. From chronic disease management to preventive care initiatives, our programs are designed to promote healthy behaviors and empower members to achieve their wellness goals.

Quality Ratings Optimization

Improving key quality ratings such as HEDIS, CAHPS, and STARS requires a comprehensive approach that addresses underlying factors contributing to performance gaps. Leveraging our expertise in data analytics and performance improvement methodologies, we identify areas for enhancement and implement targeted interventions to drive measurable improvements in quality metrics. Whether it's optimizing care delivery processes, enhancing care coordination, or implementing population health management initiatives, we partner with you to achieve sustainable improvements in quality performance.

Partner with Pendleton Advisory Group for Member Engagement Excellence

Elevating member engagement and improving quality ratings are essential components of a successful healthcare organization. Partner with our firm to leverage our expertise and innovative solutions to drive meaningful engagement, improve quality outcomes, and enhance the overall member experience. Together, we can achieve your goals of delivering high-quality care and maximizing the value of your healthcare investments.

Allow us to be your field team! Contact us today to learn more about our Member Engagement and Quality Ratings Improvement services and how we can support your organization's success.