Solution Brief
Engagys CAHPS & Member Experience Solution
Engagys CAHPS & Member Experience Solution
Elevate Member Experience. Unlock 5-Star Performance.
Medicare Advantage (MA) plans are under increasing pressure to improve their CAHPS (Consumer Assessment of Healthcare Providers and Systems) scores, which significantly impact their overall Star Ratings. With intense competition for member retention and growth, many plans struggle to influence satisfaction beyond the narrow window preceding the CAHPS survey period. Without a sustained, member-centric approach throughout the year, even the most well-intentioned efforts can fall short of meaningful improvement.
Engagys’ CAHPS solution has delivered measurable, high-impact outcomes, including:
1-Star
1-Star Rating Increase: A health plan client credited Engagys as a key driver in achieving this major improvement.
20%
20% Increase in Satisfaction Metrics: For targeted contracts, demonstrating the power of strategic engagement.
>50%
>50% Reduction in Grievances: Among targeted member populations, indicating improved satisfaction and fewer negative experiences.
50%
50% Increase in Engagement with Live CAHPS Calls: Reflecting enhanced member engagement and trust.
Engagys delivers a proven, comprehensive strategy to elevate CAHPS performance—starting well before survey season. Our approach focuses on optimizing the member experience year-round, using data-driven insights and behavioral science to engage members at every stage of their healthcare journey.
Why Leading Medicare Advantage Plans Choose Engagys
Proven, Measurable Results
From 1-Star increases to 50%+ grievance reductions—we deliver.
Ongoing Improvement in CAHPS & Star Ratings
Strategic, year-round campaigns that move the metrics that matter.
Hyper-Targeted Member Outreach
Behavioral segmentation and personalization for maximum engagement.
Multi-Channel Strategy, Unified Experience
Seamless member journeys across live calls, IVR, email, SMS, and mail.
Reduce Grievances & Complaints
Proactive engagement drives down friction and boosts satisfaction.
Key components of the Engagys CAHPS solution include:
Member Data Analysis: We start by gaining a deep understanding of your member population through the analysis of critical data points such as demographics, health status, claims history, and plan type. These insights inform strategic decisions and ensure precision in member outreach.
Targeting and Segmentation: Using insights from the data analysis, we develop a sophisticated segmentation strategy to target key populations with tailored interventions—enhancing satisfaction and driving higher CAHPS survey response rates.
CAHPS Omnichannel Campaigns: Our integrated, multi-channel outreach campaigns are designed to reach members where they are—whether by phone, email, direct mail, or SMS. We align each touchpoint to budget considerations and the unique needs of each segment.
Personalized Personas and Messaging: Engagys creates member personas and crafts messages that resonate. Leveraging behavioral science techniques, we build trust and reinforce loyalty— key drivers of member satisfaction.
Improving CAHPS performance requires more than moment in time outreach—it demands a year-round, data-driven strategy centered on personalized member experiences. With Engagys, Medicare Advantage plans can meaningfully boost satisfaction, elevate Star Ratings, and strengthen member relationships.
Let’s talk about your path to 5-Star success.
