Solution Brief
Advancing Health Equity to Drive Excellent Health Outcomes for All
CMS has introduced Excellent Health Outcomes for All (EHO4All) reward as part of its broader Stars program enhancements. To qualify for bonus payments starting in 2027, Medicare Advantage plans must demonstrate measurable success in reducing disparities and improving care among low-income subsidy (LIS), dual-eligible, and disabled populations—many of whom face Social Risk Factors (SRFs) and Health-Related Social Needs (HRSNs). Closing equity gaps is now essential to achieving both improved health outcomes and higher Star ratings.
Client Results
25% increase in colorectal cancer screening among minority populations using culturally tailored, multi-channel outreach
46% depression screening completion among new Medicaid enrollees using inclusive digital tools
89% improvement in engagement with Medicare SSI population through simplified, accessible design
80% sustained engagement in a year-long chronic disease text program for Medicaid members
Why Leading Medicare Advantage Plans Choose Engagys
- Deep expertise in CMS regulatory changes and Star Ratings strategy
- Proven results in reducing disparities and improving outcomes
- Multichannel engagement powered by behavioral science
- Strategic alignment with EHO4All and SDoH priorities
- Flexible support—from consulting to full-service execution
Engagys Health Equity Optimization Services
Engagys’ Health Equity suite of services helps health plans reduce disparities, improve outcomes, and accelerate progress toward EHO4All goals.
Health Equity Population Analysis: Maximize your EHO4all reward based on your membership data.
- Conduct disparity analyses to identify gaps and opportunities
- Optimize data collection and integration to enrich population insights
- Evaluate channel effectiveness for members with SRFs
- Measure and track progress to continually improve outcomes
Health Equity Focused Member Journeys: Improve member experience and health outcomes for members with HRSNs and SRFs.
- Personalize outreach based on SRF data and member needs
- Improve education with health-literate content and accessible touchpoints
- Highlight resources such as food assistance, transportation, and financial aid
- Establish performance benchmarks to measure strategy impact
Governance: Monitor and enhance your health equity and health outcomes initiatives across all teams to drive ongoing progress.
- Deploy decision-making frameworks that prioritize equity
- Integrate health equity strategies into cross-functional initiatives
- Monitor and evaluate program effectiveness to guide future efforts
Health Equity Training and Educational Advisory: Train agents, care managers, and internal resources on effective disparity reduction strategies at all points of contact.
- Deliver training in cultural competency, empathy, and health literacy
- Empower members to take charge of their health with confidence
- Train staff to proactively connect members to social services and resources
- Improve member experience and reduce barriers to care through every interaction
The Engagys work was transformative. They helped us reach more chronically ill individuals, get them the help they need, and increase revenue for our plan clients.
