CASE STUDY:  A Regional Health Plan Used Advanced Analytics to Reduce Disenrollment and Increase Star Ratings

Delivering Results That Matter

A regional health plan serving both Medicare Advantage and Dual Eligible populations began to see a decline in their membership. They sought to reduce voluntary disenrollment, while increasing its Star Ratings.  

The health plan partnered with Welltok’s analytics team to pinpoint individuals most likely to disenroll, identify likely causes of disenrollment and target outreach to retain individuals. Since leveraging analytics services they have seen significant results, including: 

Picture1-1
reduction in disenrollment rates
2.5-4

improved star ratings for disenrollment measure

25-97
in premium retention