The company brought in Welltok’s analytics team to analyze the Medicaid population of 17,000 enrollees across fi ve states, including CA, GA, FL, NC, and TX. Welltok leveraged its proprietary consumer database to supplement the client’s data and create a longitudinal view of each Medicaid member.
Welltok applied advanced analytics to build models that determined likelihood of an individual not recertifying, but still Medicaid eligible. They identifi ed key predictors, like previous year results, education level, health status, home value, and age.
Welltok then prioritized the list of individuals at risk of not recertifying for interventions. This list was segmented by region and by the client’s customers. The interventions included IVR and phone call outreach. A control group was put in place to measure the success rate of the program.