Eliza Corporation Announces New Medicare Solution Suite

DANVERS, Mass., Jan. 12, 2015 /PRNewswire/ -- Eliza Corporation ("Eliza"), the pioneer and recognized leader in Health Engagement Management, today announced Eliza for Medicare, a member engagement solutions suite that addresses key areas of the Centers for Medicare & Medicaid Services (CMS) STAR programs in 2015 and beyond. 

Eliza for Medicare is a multi-touch, multi-channel solution suite that uses data-driven approaches to improve key measures in areas such as preventive care, chronic condition management, care of older adults, post-hospital discharge, member satisfaction, member retention, and medication adherence. Eliza's proactive and relevant interactions offer unique and valuable insight into healthcare consumers' intentions around these behaviors – serving as an early barometer of actual scores, and identifying areas where a more focused effort is needed to make measurable improvements in scores.

"Our approach to health engagement management naturally lends itself to driving STAR metrics.  In fact, Eliza has addressed many of the key clinical and operational measures for years – well before the introduction of STAR ratings.  As a result, our comprehensive STAR solution has been recognized by industry organizations like URAC for its ability to close gaps in care and drive key STAR measures," said John Shagoury, President and CEO of Eliza Corporation. "Given the significant financial and business consequences our Medicare Advantage clients face, we remain intensely focused on impacting critical CMS STAR ratings with incredible specificity to close gaps, hit key STAR thresholds, and safeguard associated bonus payments."

According to McKinsey & Company, "STAR performance is important not only because others have shown that it correlates with market share, but also because it results in higher payments, contributing to healthy plan economics, richer benefit packages, and the ability to invest in new plan capabilities. Through 2017, CMS will continue to reset the MA premium level closer to the fee-for-service expense equivalent. As well, the eligibility for STAR bonuses is now bi-modal - only plans achieving 4 or more STAR will be awarded bonus payments."

Data, Analytics and Behavioral Science Measurably Improve STAR Performance

Eliza's Behavioral Science is built into the Eliza for Medicare solution suite to allow clients to better model, predict and prescribe the most powerful approaches to influence healthcare consumer behavior.  Eliza's unique predictive and prescriptive capabilities contribute to more accurate and holistic views of both clinical and retention risk at the member level.  Actionable intelligence, not mere data stores, is the insight that Eliza mines from its more than 1.5 billion health-specific consumer interaction, to yield targeting and messaging strategies that drive year-over-year improvements in STAR performance. 

The Eliza for Medicare solution suite also features Active Monitoring which provides reporting to 'actively' identify gaps in STAR measures.  Active Monitoring utilizes a data management layer to identify members that would benefit most from micro-targeted outreach to close remaining gaps in care and meet goals. 

"Working with Eliza, we've proven that delivering the right message to the right person at the right time measurably improves our members' experiences," said Elizabeth Bainter, Director of Clinical Quality Improvement at PacificSource Health Plans. "At PacificSource, engagement is a long-term strategy that supports our member-centric philosophy, and Eliza's data-driven approach helps us improve outcomes while empowering our members to advocate for their own health."

For more information about the Eliza for Medicare solution suite and other health engagement offerings, email [email protected].

About Eliza Corporation

Eliza Corporation ("Eliza") is the pioneer and recognized leader in Health Engagement Management. Eliza draws from over 1.5 billion interactions with people about their health, and blends business intelligence, technology, and communication expertise to improve care experiences, reduce costs and advance population health. Each program is powered by Eliza's engagement-based analytics and population segmentation, and delivered via patented speech recognition technology, rich web and a multi-channel delivery platform (including automated calls, emails, text messages, mail, live callers, social and mobile interactions). These programs consistently yield the best outcomes in the industry in terms of increased engagement, health and wellness measures, and sustainable ROI.  Eliza was founded in 1998 and is headquartered in Danvers, Massachusetts.  For more information, please visit www.elizacorp.com.

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