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The Health Plan Playbook: 7 HIPAA-Secure Automation Plays for Improved Member Engagement

The Health Plan Playbook: 7 HIPAA-Secure Automation Plays for Improved Member Engagement

What’s Inside

Seven proven plays to boost engagement, close care gaps, and reduce costs—without portal logins or app downloads. Each play includes guidance for setup, channels, CTAs, and key outcomes.

  • Member Warm Welcome – Onboard new members with benefits education, digital ID cards, and PCP selection.
  • HRA Surveys – Improve survey completion rates with simple, mobile-friendly digital channels.
  • SDOH Surveys – Quickly identify social needs and connect members to resources.
  • Closing Gaps in Care – Guide members to care gap closure for provider visits, labs, prescription fills and more.
  • Medication Adherence – Understand and overcome barriers such as cost, transportation, and more.
  • Chronic Condition Navigation – Deliver proactive, year-round support for members managing complex conditions.
  • Maternal Health Navigation – Guide expectant and new mothers with stage-based education and appointment reminders to support better outcomes.

Why Health Plans Use This Playbook

  • Get started quickly: Built on best practices trusted by leading health plans, these pre-built workflows are fully customizable and ready to go live in weeks.
  • Stay compliant: HIPAA-secure and HITRUST R2 certified, with PHI protection and two-factor authentication baked in.
  • Focus on what matters: Learn the key metrics your peers track for each journey—so you can measure real progress, not vanity numbers.
  • See measurable impact: Raise quality scores and Star Ratings, improve adherence, lower call volume, and cut avoidable costs.

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