Eliza Corporation Announces Tailored Solutions to Address Current Events Affecting the Healthcare Landscape Including Exchange, the Future of STARs, and Medicaid Expansion

WASHINGTON and DANVERS, Mass., March 24, 2015 /PRNewswire/ -- Today, at the 12th annual World Health Care Congress ("WHCC"), Eliza Corporation ("Eliza"), the pioneer and recognized leader in Health Engagement Management, announced tailored solutions to address the current events affecting the healthcare landscape.  Eliza's tailored Marketplace, Medicare, and Medicaid solutions are intended to augment healthcare organizations' efforts to minimize disruption while maximizing member management, risk adjustment and retention efforts.  Eliza's solutions integrate proprietary Behavioral Science with a set of carefully constructed multi-touch, multi-channel outreach programs, and leverage time-tested methodologies, including propensity scoring, channel receptivity index, and segmentation to ensure the right message, at the right time, through the right channel is delivered to healthcare consumers.

"Whether being transitioned from a current plan to a new, unfamiliar plan, purchasing from a Marketplace or enrolling in a state Medicaid plan, many consumers' lives inevitably will be disrupted by the changes to the healthcare system in the coming months and years.  Eliza's solution suites minimize this disruption by providing unique, data-driven engagement and support that cannot be achieved through traditional promotions or outreach," said John Shagoury, President and CEO of Eliza Corporation.

Marketplace: Impact of King vs. Burwell
For Marketplaces -- particularly in states using the Federal Marketplace -- federal tax subsidies are up for debate within the Supreme Court under the King vs. Burwell case.  This could potentially have 7-8 million people with a change in coverage or loss of tax subsidies to stay current with payments and health insurance. Call centers may be at overflow status – and Eliza can partner with clients through proactive outreach, or overflow live call centers set-up to ensure members have the best experience during a time of potential confusion.

Medicare: The Future of STARs
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.  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."

Medicaid: Expansion and State-to-State Cost Controls
Eliza recently released an updated "Eliza for Medicaid" member management solution suite that addresses key clinical and operational needs for Medicaid populations - which is of particular importance given the debate of expansion and cost controls state-to-state. Through the combination of Eliza's data asset, analytics, patented technology and professional services, Eliza's Medicaid solutions can identify risk, close gaps in care, increase operational excellence to meet pay-for-performance targets, and improve HEDIS measures. For example, an Eliza for Medicaid Retention program had the following results:

• Improved renewal rates by 4.8% over a 12-month time period
• Saved $2.4 million in revenue and avoided $1.35 million in re-enrollment costs

For more information about Eliza's consumer health engagement solutions, please visit www.elizacorp.com or 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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Media Contact:                
Nancy Scott
Eliza Corporation
978.236.7320
[email protected]

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SOURCE Eliza Corporation