Solutions for Payers & Insurance
Member engagement, quality measure improvement, and population health management that complement your provider network and drive measurable outcomes.

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.
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.
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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.
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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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“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.”
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.

