40%
improvement in adherence
35%
reduction in inbound calls
30%
increase in member engagement
Challenge
- A large California-based Medicaid plan’s most urgent initial use case was to begin to support their member engagement for MediCal Redetermination
- The first use case involved proactive outreach to their MediCal membership to secure permission to contact and verify contact data (such as details on members of a household as well as mailing addresses and cell numbers) that is now critical to support member redetermination education and process support / hand-holding
Solution
- Automate interactions over text and Ushur’s Invisible App™
- Began with English and Spanish language support and rapidly expanded (Ushur supports more than 60 languages)
- After initial results, rapidly expanding to a large number of additional use cases across their member, provider and pharmacy journeys (redeterminaton / retention, acquisition, quality / health and wellness and more)