Quality Improvement Programs

Improving Star and HEDIS Quality Performance Measures

Warm Health’s Quality Rating Improvement Programs are member-personalized, interactive and automated solutions that improve HEIDS and Star performance across a large range of measurements. The educational topics strictly adhere to and address Star, HEDIS, HOS, CAHPS messagingThe programs build an expectation for the member that they will receive valuable communications regarding their health from their health plan and MaryBeth on a regular, monthly basis.

Our Approach to Quality Ratings Improvement: Consolidated, Regular Outreach

The Warm Health Quality Ratings Programs are different from other quality programs in that they provide much greater outreach capacity while consolidating and coordinating member communication for the health plan. Many health care organizations send ad hoc messages from various departments and mailers, automated single calls, or live calls from nurses. This ad hoc, uncoordinated approach is confusing to the member, disjointed and expensive. Alternately, some organizations have created a more coordinated plan but only communicate with members who have specific care gaps. Under the Warm Health approach, all members get the benefit of regular communication from their health plan every month or quarter, which builds a relationship with the health plan.

Personalized Content For All Members

Warm Health messages are delivered through a proprietary technology that allows the messages to be dynamically personalized based on member need and topic prioritization. Warm Health integrates these messages into a series of calls with up to two messages per call. The calls are typically delivered once per month or quarter. Messages can include initiatives for HEDIS, STAR, and other communication goals of the organization. This approach also ensures that members are not inundated with communications for various Star or HEDIS initiatives from within a client’s organization. Warm Health works to develop an overall communications plan with each client that meets the goals and objectives of the organization.The Warm Health approach improves communication effectiveness, supports client branding efforts, and reduces overall messaging expenses.