Why Proactive Member Navigation Is the Future of Medicare Advantage
I recently wrote an article for RISE Health exploring how proactive care navigation is reshaping the Medicare Advantage landscape. With Star Ratings, member retention, and member satisfaction at stake, health plans are constantly seeking ways to enhance their approach.
Many members struggle to navigate the healthcare system, which leads to confusion, frustration, and, in some cases, dropping their health plan. Helping members navigate their healthcare journey with proactive support, timely guidance, and clear communication fosters trust and keeps them engaged with their plan.
Key Takeaways:
Members need guidance, not just access. Simply providing resources isn’t enough. Without proactive outreach, many members may never be aware of or fully take advantage of the benefits available to them.
Proactive navigation fuels retention. When members feel supported and empowered by their health plan, they are far more likely to stay enrolled.
Smart, strategic communication is a game-changer. Health plans prioritizing engagement strategies see higher satisfaction scores, improved member experiences, and stronger performance in key metrics.
You can read the full article for RISE Health here:
Member Experience in Medicare Advantage: The Power of Proactive Navigation
Who is RISE Health?
RISE Health is a premier organization dedicated to empowering healthcare professionals with insights, best practices, and networking opportunities. They focus on key areas such as risk adjustment, quality improvement, Star Ratings, HEDIS, member experience, and value-based care. Serving Medicare Advantage, Medicaid, and ACA markets, RISE Health helps industry leaders navigate regulatory changes, improve outcomes, and drive operational excellence.