Case Study: a top Medicare Advantage plan closes care gaps and improves health outcomes with Cleo

Top Medicare Advantage Plan boosts member engagement to 96% with Cleo

The customer, a top Medicare Advantage plan, faced a significant challenge in engaging its highest-risk members, who were non-adherent and unengaged. This made it difficult to close essential data and care gaps, which directly impacted the plan's key Star Ratings. To address this, the plan partnered with vendor Cleo to implement its high-touch, data-driven intervention program.

Cleo conducted extensive telephonic outreach, successfully reaching and enrolling thousands of members. Using its Health Pulse assessment for risk-stratification, Cleo delivered tailored interventions that addressed chronic conditions, polypharmacy, fall risks, and social needs. The results for the plan were substantial, including a 96% engagement rate, reduced ER visits, improved medication adherence, and closed care gaps. Cleo's solution directly advanced the plan's Star Ratings and improved member health outcomes.