CASE STUDY: Nation’s Top Payer Generates Over $9 Million in ROI Annually Thanks to New and Improved Quality and Retention Initiatives

Delivering Results That Matter

One of the nation’s largest payers sought to improve their Medicare Quality measures and gain ROI on their improvement initiatives. Their ultimate goals were to support member centricity and improve overall member satisfaction.

The plan leveraged Welltok’s advanced analytics and multi-channel communication capabilities to impact HEDIS, Star Ratings, and other quality measures. Since leveraging Welltok, they have seen significant results: 

$9M-1

in annual ROI 

45

of members who received an in-home test kit, completed the screening and returned it

 

78-1

 of members were contacted and informed for Prior Authorization and/or Approvals for medical services