CipherHealth
Solutions by Organization

Solutions for Payers & Insurance

Member engagement, quality measure improvement, and population health management that complement your provider network and drive measurable outcomes.

Solutions for Payers & Insurance (variant 4)
By the numbers
46%
More members reached
HEDIS
Quality measure improvement
20%
Cost reduction in targeted populations
Capabilities

Engage members at scale, improve outcomes system-wide

Member Outreach

Multi-channel campaigns reach members via text, voice, and email in their preferred language to drive action.

Quality Measures

Targeted outreach programs improve HEDIS, Stars, and other quality scores that directly impact reimbursement.

Population Health

Stratify member populations by risk and engage high-need groups with tailored interventions and check-ins.

Care Gap Closure

Identify and close open care gaps with automated reminders for screenings, wellness visits, and follow-ups.

Medication Adherence

Reduce non-adherence with timely refill reminders and two-way conversations that address barriers to compliance.

Engagement Analytics

Track outreach effectiveness, member response rates, and quality measure progress in real-time dashboards.

Precision engagement

Reach the Members Who Need You Most

Many members never respond to mailers or portal messages. CipherHealth's multi-channel outreach meets members on their preferred channel — text, voice, or email — to close care gaps and drive preventive action.

See how it works
Payer quality team reviewing care gap outreach dashboards
Proven impact

Hit Your Stars and HEDIS Targets

Automated programs target specific quality measures — mammography screenings, A1C testing, medication adherence — with the right message at the right time. Real-time tracking shows exactly where you stand.

Explore quality solutions
Hit Your Stars and HEDIS Targets (variant 2)
Proven intelligence

Move From Reactive to Proactive

Risk-stratify your membership, identify rising-risk groups, and intervene early with automated outreach. Reduce ER utilization, prevent hospital admissions, and lower total cost of care.

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Move From Reactive to Proactive (variant 3)
We reached 46% more members in our first HEDIS campaign with CipherHealth compared to our previous outreach vendor. The multi-channel approach made all the difference.
LC
Linda Chen
VP, Quality & Population Health, Horizon Health Plan
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Engage more members, improve more measures.

See how payers use CipherHealth to reach hard-to-engage members, improve quality scores, and reduce total cost of care.