Unlocking Hidden Revenue by Transforming Member Communications
Health plans know that member experience is everything. But despite their best efforts, many struggle to deliver the right message at the right time —or to make it personal and relevant—and it’s costing them. Disjointed communications, data silos and an overwhelming volume of outreach leave many members disengaged. The result? Lower retention and stagnating plan performance. Plans also miss out on revenue opportunities —effective member communications can positively influence Healthcare Effectiveness Data and Information Set (HEDIS) scores, Risk Adjustment Factor (RAF) scores and Star ratings, all of which impact federal reimbursements. In addition, well-executed communications can drive cost savings by improving member adherence to care plans and prescription protocols.
But achieving these results requires more than just checking a box. Too often, compliance-focused messages are treated as one-off tasks — sent without strategic intent or consideration for how they fit into the broader member experience. Finding the right strategy can be challenging, and missteps can lead to communication fatigue and missed opportunities.
The good news? There’s a smarter way.
Introducing the Member Value Optimizer
Developed by Media Logic, Volute and N1 Health, the Member Value Optimizer (MVO) transforms member engagement from a cost center into a revenue-generating strategy. By combining predictive analytics, strategic messaging and personalized engagement, our MVO can help health plans drive retention, improve performance and increase financial outcomes, without overloading members with ineffective communication.
This solution goes beyond generic outreach by leveraging data-driven targeting to deliver the right message, to the right member, at the right time —while ensuring it’s personal and relevant. The result? More engaged members, improved plan performance and stronger financial outcomes.
Real-World Impact
The MVO is poised to help health plans transform engagement into measurable financial and operational success. Key applications include:
Lowering ACA Risk Adjustment Transfer Payments
Many health plans face substantial financial penalties due to Risk Adjustment Factor (RAF) score discrepancies. The MVO helps identify and engage high-impact members, ensuring they complete the necessary wellness visits to improve risk scores and optimize plan reimbursements.
Optimizing Enrollment Migration
Navigating the transition between Medicaid, ACA, Medicare Advantage and D-SNP plans can be complex. The MVO creates seamless communication strategies to guide members through plan transitions smoothly, reducing churn and improving retention.
Enhancing Medication Adherence
Missed prescriptions lead to higher costs and poorer health outcomes. This solution ensures members receive timely, personalized reminders to refill medications—boosting adherence and lowering avoidable expenses.
Minimizing ER Visits
Unnecessary emergency room visits drive up costs for both members and health plans. Educating members on alternative care options—such as urgent care or telehealth—reduces ER overuse and improves long-term patient outcomes.
How It Works
Unlike traditional engagement efforts, the MVO takes a strategic, data-driven approach through a comprehensive process:
- Predictive Analytics and Targeting – Using sophisticated modeling to identify and prioritize communications for the right members.
- Personalized Member Journeys – Creating detailed personas to personalize communications that specifically address obstacles members face.
- Complete Journey Management – Developing comprehensive multi-channel communication journeys that align with strategic goals and the member’s preferred communication methods.
- Continuous Optimization – Analyzing campaign data to refine predictive models and personas, creating a feedback loop that improves targeting and effectiveness over time.
By connecting these elements into a cohesive strategy, the MVO delivers the right message to the right member at the right time—all while ensuring content is personal and relevant to each individual’s specific needs and obstacles.
Drive Growth Through Smarter Engagement
In today’s competitive healthcare market, member engagement isn’t just a communications issue—it’s a financial imperative. The Member Value Optimizer helps health plans simplify, personalize and optimize outreach to drive retention, improve financial performance and turn engagement into a strategic advantage.
With seamless integration and minimal lift, the solution delivers immediate value.
Are you ready to shift from communication overload to high-impact engagement? Contact Media Logic today.
