Extend your solution for effective member experience
BPaaS enabled Member Health Risk Assessment and Star Rating improvement solution
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HRA360
- Identify or Predict potential members
- Stratify existing Members based on risk score & models
- Member portal enabling Members to fill the HRA form online
- Prioritize outreach process for each Members based on their risk score and days left to complete HRA
Wipro's HRA360 is an end-to-end Member Health Risk Assessment and Star Rating improvement solution. It is a modular solution which can be integrated with the existing platforms such as Membership, Agency & Broker Systems and Portals.
The Health Risk Assessment (HRA) is the link between the member experience and the performance of the health plan. The BPaaS enabled HRA360 provides everything under one roof - including member identification, risk stratification, configurable questionnaires, member outreach programs, risk scoring, CMS reporting capabilities and Star rating improvements.
Integrated with Agent system for Pre enrollment and post enrollment scenarios
Increase in Member Engagement through Data driven campaigns
Cost Reduction through on demand BPaaS
Increase in HRA Adoption Rate
HRA360 key components
12-15% success rate through targeted Voice mails and Auto Dialers
HRA360 Business Benefits
Enterprise solution designed for Pre enrollment and Post Enrollment scenario
Data mining & Predictive data model to gauge proactive actions, improving member experience
Auto dialers and target voice mails to increase call connect/success rates & Member engagement
Helps in compliance with CMS regulations through audit trail & CMS compliance reports
Multi-channel approach for Member form intake as well as outreach campaign
Integration with Member360 to prepopulate most of the information enabling Members to fill the form easily
Stratify existing Members based on risk score & models and easy prioritization
Identify partially filled forms and help capture Member engagement follow ups through calling support