
Risk adjustment (RA) is key to financial sustainability and equitable resource allocation in health plans. The annual wellness visit (AWV), whether completed by a member's PCP or through an in-home assessment, offers an ideal opportunity to capture accurate RA codes.
Engagys supports the entire process of member engagement and AWV completion for accurate risk adjustment coding, including:
Targeting & Segmentation: Boost AWV completion by targeting the right population.
Workflow Optimization: Maximize results by refining each step of your workflow.
Call Center Training: Enhance member experience with agent training based on behavioral science.
Omnichannel Campaigns: Drive better outcomes with optimized channel, timing, and frequency strategies.
Client Results
- Doubled the number of AWVs completed by members who had previously been ‘soft declines’
- 6X increase in targeted members talking to an agent by changing staffing and redial rules
- 44% improvement in visits completed after training the call center on behavioral science techniques
- 52% increase in visits completed by adding a SMS text option
Risk Adjustment Best Practices
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