Hallmark Health Plan Pulse Check: October 2024
Joe Dahlkemper
Leads Member Engagement Strategy | Stars | CAHPS | HOS | HEDIS | Retention | Health Equity
Welcome to October’s Hallmark Health Plan Pulse Check : my monthly newsletter sharing the latest trends and effective strategies for strengthening relationships and improving member experience. Below, you'll find details about how personalized Hallmark cards can boost CAHPS scores, recap of insights from RISE West 2024 on operational excellence in Medicare Advantage and discuss the projected growth of global insurance spending.
Top Posts:
Previously, Star Ratings were heavily weighted on clinical care and health outcomes. But member experience takes the top priority.? In 2026, about 23% of the weighted Star Ratings measure composition will come from the CMS CAHPS member experience survey.
Personalized member touchpoints are proven to be effective in strengthening relationships and improving member experience.
Our clients have seen remarkable results — 90% of them send personalized cards to members just before the CAHPS survey begins in early March, leading to tangible improvements. In fact, one client improved 8 out of 9 CAHPS measures.
The impact is real. Personalized cards significantly enhance how members perceive their health plan, and the potential rewards are substantial. By reaching out to your MA members at this pivotal moment, you can leave a lasting impression that boosts their experience and supports your plan’s success.
The #1 highlight from RISE West 2024 for me, by far, was Operational Excellence in Medicare Advantage Plan Management, a workshop presented by Rex Wallace and Nate Lucena .
This groundbreaking interactive workshop provided an opportunity to dive deep into the complexities and strategies of managing a #MedicareAdvantage health plan. Rex and Nate provided multi-disciplinary expertise in Star Ratings, Risk Adjustment, Benefit Design, compliance, and Plan Operations. They provided takeaways on connectivity amongst departments, keys to budget management, and practical strategies to enhance plan performance all while staying compliant during times of change.
I recommend reaching out to Rex Wallace or Nate Lucena if you want to gain insight on industry best practices for:
??Better understanding of cross-functional departmental goals and strategies that are essential for success and to get a better grip on the levers to pull to maximize the impact of your initiatives.
??How to integrate efforts across finance, quality improvement, member engagement, and risk adjustment to achieve optimal results.
??Becoming a better advocate within your own health plan for resources that can have maximum impact on plan performance.
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??Understanding the intricacies of balancing budget constraints with the need for high-quality care and, above all, compliance.
The global insurance market is on track to approach an astonishing $10 trillion by 2028, with the US accounting for nearly half of the global premiums and the non-life insurance segment fueling the most growth, according to Statista projections.
What are your thoughts on the market's expected record-high spending in the coming years?
The Medicare Advantage (MA) segment continues to expand rapidly, with 32.7 million enrollees—an increase of nearly 2.3 million since 2022, according to data from CMS and Mark Farrah Associates .
Health insurers continue to invest in MA growth opportunities for increased enrollment and revenue as the number of people entering retirement increases each year. However, rising medical expenses are outpacing premiums, creating new profitability challenges.
If you'd like to discuss the latest health plan member engagement strategies, feel free to message me on LinkedIn . I’d love to connect.
Thanks for subscribing, and stay tuned for next month’s Hallmark Health Plan Pulse Check.