Evive Health Helps Medicare Advantage Plans Reach for the Stars

Evive’s Innovative Member Engagement Strategies Improve Health Outcomes to Optimize Medicare Star Ratings and Boost CMS Bonus Rewards

CHICAGO--(BUSINESS WIRE)-- Evive Health announced today that it has expanded its proprietary health engagement technologies to assist Medicare Advantage plans in achieving better outcomes in the areas of wellness, prevention and chronic care. By keeping their members healthier and quantifying the results over time, participating plans could be eligible for financial bonuses from the Centers for Medicare and Medicaid Services (CMS) under the new Medicare Advantage Star Ratings program.

Starting in 2012 the CMS is reducing reimbursement to Medicare Advantage plans by as much as 10 percent, but plans that increase their quality ratings in key performance areas can earn back a significant portion of the cuts through the Star Ratings quality bonuses. The new reforms are designed to improve member health while, for the first time, also rewarding health plans for exceptional performance.

Evive Health, one of the nation’s fastest-growing innovators in the development of personalized member messaging solutions, designs communications that motivate health plan members to take a more active role in preventative health.

“Achieving the highest possible Star Rating has become a key initiative of Medicare Advantage plans today,” said Evive CEO Peter Saravis. “While recent changes in the law now allow three-star plans to earn bonuses, attaining a top rating of four or five stars could potentially be worth billions of dollars more to Medicare Advantage plans able to achieve these higher standards.”

Under the original law, four- and five-star plans would have seen their bonuses grow from 1.5 percent in 2012 to 3 percent in 2013 to 5 percent in 2014. Now five-star plans will immediately get the 5 percent in 2012, while four-star plans will get a 4 percent bonus. Of 560 Medicare Advantage plans nationwide, there are currently only three that have five stars and 74 with four stars, according to CMS data.

“This is a great incentive to get Medicare Advantage plans to act quickly to make the necessary service improvements needed to reach a high star rating so that they are not leaving money on the table,” Saravis said. “Evive has solutions to address or impact up to 28 of the quality areas measured by CMS. Our engagement strategies are proving to increase member participation by an average of 19 percent during the first year alone.”

Evive Health’s Medicare Star Ratings enhancement solutions merge member health analytics with consumer behavioral research to create highly individualized communications that educate and motivate members to participate in health and wellness activities.

About Evive Health

Founded in 2007, Evive Health has quickly emerged as a leader in motivational health engagement solutions, more than tripling its revenues between 2008 and 2010. Today, Evive works with leading health insurance carriers and wellness organizations nationwide to provide integrated communications solutions that motivate individuals to engage in health and wellness activities which improve their health, lower healthcare costs, and lead to a happier and healthier lifestyle. Evive currently reaches more than 400,000 covered members nationwide with its personal messaging solutions. For more information, visit www.evivehealth.com, or call 312-374-9150.


For Evive Health
Lisa Freeman, 818-597-8453, x-4
[email protected]

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