In order for health plans to conduct health risk assessments, effectively communicate plan benefits, and connect members to the health care, social services, and other resources that they need, health plans must first be able to locate and engage members. To identify successful strategies for locating and engaging members, health plans may consider using rapid-cycle improvement approaches – a quality improvement method aimed at identifying, implementing, and measuring changes to a process or organization, often through Plan, Do, Study, Act cycles. 1
This Spotlight highlights CareSource’s rapid-cycle improvement efforts to reduce the number of members classified as unable to reach (UTR) members in their Community Well population. CareSource’s pilot programs focused on reaching and engaging a portion of their UTR members, with the goal of connecting members with case management services.
Click here to access the Spotlight on CareSource
References
[1] Robert Wood Johnson Foundation (2013). Quality/Equality Glossary. Retrieved from https://www.rwjf.org/en/library/research/2013/04/quality-equality-glossary.html