Novu Health Engagement Blog

[Webinar Recording] How Intelligent Member Engagement Strategies Lead to Improved Medicare Quality Scores

Novu Health

Scoring above 3.5 Stars has never been more challenging for Medicare plans. CMS scores on a curve and plans vie against each other each year, which means maintaining your current member programs and commination is no longer enough. To remain at the top, plans...

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NovuHealth offers insight: How reward and incentive strategies fit into Medicare Advantage bids

Novu Health

With CMS’ release of the 2018 final Call Letter, the continued and growing emphasis on quality performance and long-term health improvement requires plans to consider how they include the cost of quality improvement in their bid strategy, for this year and...

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NovuHealth’s secret sauce: Improving diabetic care and delivering a 4-Star rating with Medicare incentive strategies

Novu Health

Picture this not uncommon scenario: A large Medicare Advantage plan seeks to close gaps in care among its diabetic population and reach a 4-Star quality rating. Around half of their diabetic members (220,000 out of 430,000) are non-compliant. Yet, working with...

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Key implications from the 2018 CMS final Call Letter and what’s next for Medicare member engagement

Novu Health

With the April 4 release of the 2018 final Call Letter, the importance of quality performance, efficient use of administrative expenses and Medicare member engagement have been made clearer than ever.

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Want Consumer Engagement in Health Care? Set Goals and Use Data to Obtain Them

Jordan Mauer

NovuHealth CEO Addresses AHIP Consumer Experience & Digital Health Conference

Health plans need to adopt the data-driven, goal-focused, personalized customer engagement models of retail if they are to be successful in a world in which quality and risk...

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What new CMS reporting requirements mean for your rewards and incentives program

Ben Wright

No time to read all 81 pages of the newly released Medicare-Medicaid Capitated Financial Alignment Model Reporting Requirements (let alone the title)? No problem. Here’s the section on CY 2016 MMP core reporting requirements for rewards and incentives programs...

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How to optimize your Medical Loss Ratio

Ben Wright

We optimize the MLR numerator. So can you. Let’s talk about how. 

For Medicare Advantage (MA) plans, one of the most significant influences on expenditures and profit is the Medical Loss Ratio (MLR) rule. This rule requires that MA plans spend at least 85% of...

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How much is too much? 3 key insights on valuing wellness rewards

Jordan Mauer

You’ve utilized insights from consumer loyalty programs and chosen your healthy behaviors. Your wellness rewards and incentives program is well on its way—but in the midst of watching your member engagement strategy take shape, the question of “how much is too...

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