Case Study: Healthfirst improves member health and quality targets with PA Consulting

Hitting quality targets and keeping members healthy

Healthfirst, a health insurer managing public and commercial plans, needed to improve its complex, decentralized live call campaigns and better understand how those outreach efforts affected member health. With new HEDIS regulations tying reimbursement to quality of care, Healthfirst turned to PA Consulting to help strengthen campaign performance and support healthier members.

PA Consulting conducted stakeholder interviews, mapped the current-state process, and identified opportunities to improve how live call campaigns were managed and tracked. The work gave Healthfirst a clearer picture of campaign performance and set the stage for better care reminders, improved member health, and stronger financial outcomes under HEDIS, though the case study does not cite specific numerical results.

Healthfirst