CAHPS and Experience

CAHPS scores play a pivotal role in determining a Medicare Advantage (MA) plan’s Star rating. Optimizing the member experience at every touchpoint throughout the year—not just during the period leading up to the CAHPS survey—can significantly improve CAHPS scores, ultimately helping MA plans achieve a 5-Star rating.

Engagys drives outcomes through comprehensive, year-round CAHPS strategy, including:

Member Data Analysis: Gain a deeper understanding of your population through expert analysis of key data points, such as age, gender, tenure, race/ethnicity, health claims, plan type, and more.

Audience Selection and Segmentation: Optimize the member experience, influence satisfaction, and boost survey completion rates by leveraging insights from our actionable segmentation approach to refine your targeting and segmentation strategy.

CAHPS Omnichannel Campaigns: Expand reach, enhance engagement, and improve the member experience with integrated, multi-channel campaigns that navigate budget constraints and honor segment-specific needs.

Personalized Personas and Messaging: Deliver impactful, personalized messages, utilizing behavioral science techniques to foster trust, satisfaction, and loyalty among members.

Client Results

  • Achieved a 1-Star increase - the health plan recognized Engagys’ partnership as a key driver and tipping point for this improvement.
  • >50% reduction in grievances across the targeted population.
  • 20% increase in satisfaction measures for targeted contracts.
  • 50% increase in engagement with live CAHPS calls.

CAHPS: a sum of consumer interactions

CAHPS: a sum of consumer interactions
CAHPS: a sum of consumer interactions