SYS-CON MEDIA Authors: Liz McMillan, Pat Romanski, Elizabeth White, Plutora Blog, Jayaram Krishnaswamy

News Feed Item

Eliza Corporation's Medicaid Solution Saves $2.4 Million in Revenue and Delivers 10:1 ROI for a National Managed Care Organization

Active Monitoring combines HEDIS and member-level interaction data to track progress and provide data visualizations that actively identify gaps in care

DANVERS, Mass. and ORLANDO, Fla., Feb. 26, 2014 /PRNewswire/ -- At HIMSS14 Annual Conference and Exhibition this week, Eliza Corporation ("Eliza"), the pioneer and recognized leader in Health Engagement Management, announced the "Eliza for Medicaid" member management solution suite that addresses key clinical and operational measures for Medicaid populations. 

Eliza Corporation.

Demonstrating the power of Eliza for Medicaid, one of the nation's leading Medicaid Managed Care Organizations ("MCO") struggled with high levels of member attrition.  The MCO turned to Eliza for strategic analysis and solutions.  Eliza's engagement analysis uncovered that over 30 percent of the MCO's members let coverage lapse -- simply because they failed to complete the required recertification process.  The administrative oversight left eligible members without healthcare coverage and threatened the MCO's productivity, costs and revenue goals.  In order for the Medicaid MCO to improve its position, it needed to find a solution to reduce attrition by improving recertification rates.  During a pilot period with the MCO, Eliza for Medicaid delivered:

  • 5% lift in recertification rates vs. a control group
  • $2.4 million in saved revenue
  • $1.35 million reduction in related re-enrollment expenses
  • 10:1 return on investment ("ROI")

"Consistent engagement of Medicaid populations is a perpetual challenge for health plans, since Medicaid members are notoriously difficult to reach.  In addition, Medicaid members have increased likelihood of chronic conditions.  In fact, an estimated 45 percent of Medicaid beneficiaries with disabilities are diagnosed with three or more chronic conditions. With the changes that health reform has brought to Medicaid – including the potential for millions of additional people eligible for services – Medicaid population engagement challenges have escalated," said John Shagoury, President and CEO of Eliza Corporation.  "Given the significant business and financial consequences that are compounded by Medicaid population realities, we remain intensely focused on helping our customers renew and retain members, close gaps in care, hit key thresholds, and safeguard associated health and financial outcomes."

Active Monitoring and Microtargeting Identify and Close Gaps
Based on the award-winning Eliza Star Year in the Life solution, the Medicaid solution applies Eliza's unique health data assets to help customers develop and implement strategic multimodal communication programs that:

  • Increase health literacy among hard-to-reach, underserved populations in a range of languages
  • Close clinical gaps in care for chronically ill patients
  • Promote primary care physician ("PCP") relationships to limit Emergency Room visits and increase preventative care utilization
  • Improve the recertification process
  • Gather insights (e.g., language preference, text, email) for future communications
  • Connect  people with supportive resources

Leveraging Eliza's Active Monitoring and Micro-targeting tools to offer even greater quantifiable value to customers, Eliza for Medicaid combines Healthcare Effectiveness Data and Information Set ("HEDIS") with Eliza member-level interaction data to track progress and provide monthly visualizations that 'actively' identify gaps in care.  Active Monitoring also adds a data layer -- derived by an Eliza proprietary algorithm -- to identify members that would benefit most from Micro-targeted outreach to close remaining gaps in care and to meet goals. 

For more information about the Eliza for Medicaid solution suite and other health engagement offerings, visit http://info.elizacorporation.com/medicaid or email [email protected].

About Eliza Corporation
Eliza Corporation ("Eliza") is devoted to making people happier, healthier, and more productive. The pioneer and recognized leader in Health Engagement Management, Eliza draws from more than a 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 our patented speech recognition technology, rich web and multi-modal delivery platform (including automated calls, emails, text messages, mail, 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.

All product and company names herein may be trademarks of their registered owners.

Logo: http://photos.prnewswire.com/prnh/20120917/NE75009LOGO-b

SOURCE Eliza Corporation

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
BMC Software plans to acquire assets of CDB Software, Inc., a mainframe data management company that has developed utilities for managing IBM DB2 databases with virtually no outage. Focusing on the availability of mission-critical applications is strategic for BMC as it continues to help its customers transform IT into a competitive advantage for their business. CDB's technology complements BMC's existing mainframe data management portfolio, which includes software utilities for DB2 administrat...
“DevOps is really about the business. The business is under pressure today, competitively in the marketplace to respond to the expectations of the customer. The business is driving IT and the problem is that IT isn't responding fast enough," explained Mark Levy, Senior Product Marketing Manager at Serena Software, in this SYS-CON.tv interview at DevOps Summit, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
The 3rd International Internet of @ThingsExpo, co-located with the 16th International Cloud Expo - to be held June 9-11, 2015, at the Javits Center in New York City, NY - announces that its Call for Papers is now open. The Internet of Things (IoT) is the biggest idea since the creation of the Worldwide Web more than 20 years ago.
“This win means a great deal to us because it is decided by the readers – the people who understand how use of our technology enables new insights that drive the business,” said Matt Davies, senior director, EMEA marketing, Splunk. “Splunk Enterprise enables organizations to improve service levels, reduce operations costs, mitigate security risks, enhance DevOps collaboration, create new product and service offerings and obtain deeper insight into customer behavior. Being named Best Business App...
The move in recent years to cloud computing services and architectures has added significant pace to the application development and deployment environment. When enterprise IT can spin up large computing instances in just minutes, developers can also design and deploy in small time frames that were unimaginable a few years ago. The consequent move toward lean, agile, and fast development leads to the need for the development and operations sides to work very closely together. Thus, DevOps become...
"ElasticBox is an enterprise company that makes it very easy for developers and IT ops to collaborate to develop, build and deploy applications on any cloud - private, public or hybrid," stated Monish Sharma, VP of Customer Success at ElasticBox, in this SYS-CON.tv interview at DevOps Summit, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
Today’s enterprise is being driven by disruptive competitive and human capital requirements to provide enterprise application access through not only desktops, but also mobile devices. To retrofit existing programs across all these devices using traditional programming methods is very costly and time consuming – often prohibitively so. In his session at @ThingsExpo, Jesse Shiah, CEO, President, and Co-Founder of AgilePoint Inc., discussed how you can create applications that run on all mobile ...
In her General Session at 15th Cloud Expo, Anne Plese, Senior Consultant, Cloud Product Marketing, at Verizon Enterprise, focused on finding the right mix of renting vs. buying Oracle capacity to scale to meet business demands, and offer validated Oracle database TCO models for Oracle development and testing environments. Anne Plese is a marketing and technology enthusiast/realist with over 19+ years in high tech. At Verizon Enterprise, she focuses on driving growth for the Verizon Cloud platfo...
The Internet of Things is tied together with a thin strand that is known as time. Coincidentally, at the core of nearly all data analytics is a timestamp. When working with time series data there are a few core principles that everyone should consider, especially across datasets where time is the common boundary. In his session at Internet of @ThingsExpo, Jim Scott, Director of Enterprise Strategy & Architecture at MapR Technologies, discussed single-value, geo-spatial, and log time series dat...
15th Cloud Expo, which took place Nov. 4-6, 2014, at the Santa Clara Convention Center in Santa Clara, CA, expanded the conference content of @ThingsExpo, Big Data Expo, and DevOps Summit to include two developer events. IBM held a Bluemix Developer Playground on November 5 and ElasticBox held a Hackathon on November 6. Both events took place on the expo floor. The Bluemix Developer Playground, for developers of all levels, highlighted the ease of use of Bluemix, its services and functionalit...
Things are being built upon cloud foundations to transform organizations. This CEO Power Panel at 15th Cloud Expo, moderated by Roger Strukhoff, Cloud Expo and @ThingsExpo conference chair, addressed the big issues involving these technologies and, more important, the results they will achieve. Rodney Rogers, chairman and CEO of Virtustream; Brendan O'Brien, co-founder of Aria Systems, Bart Copeland, president and CEO of ActiveState Software; Jim Cowie, chief scientist at Dyn; Dave Wagstaff, VP ...
SYS-CON Media announced that Splunk, a provider of the leading software platform for real-time Operational Intelligence, has launched an ad campaign on Big Data Journal. Splunk software and cloud services enable organizations to search, monitor, analyze and visualize machine-generated big data coming from websites, applications, servers, networks, sensors and mobile devices. The ads focus on delivering ROI - how improved uptime delivered $6M in annual ROI, improving customer operations by minin...
Scott Jenson leads a project called The Physical Web within the Chrome team at Google. Project members are working to take the scalability and openness of the web and use it to talk to the exponentially exploding range of smart devices. Nearly every company today working on the IoT comes up with the same basic solution: use my server and you'll be fine. But if we really believe there will be trillions of these devices, that just can't scale. We need a system that is open a scalable and by using ...
Code Halos - aka "digital fingerprints" - are the key organizing principle to understand a) how dumb things become smart and b) how to monetize this dynamic. In his session at @ThingsExpo, Robert Brown, AVP, Center for the Future of Work at Cognizant Technology Solutions, outlined research, analysis and recommendations from his recently published book on this phenomena on the way leading edge organizations like GE and Disney are unlocking the Internet of Things opportunity and what steps your o...
In their session at @ThingsExpo, Shyam Varan Nath, Principal Architect at GE, and Ibrahim Gokcen, who leads GE's advanced IoT analytics, focused on the Internet of Things / Industrial Internet and how to make it operational for business end-users. Learn about the challenges posed by machine and sensor data and how to marry it with enterprise data. They also discussed the tips and tricks to provide the Industrial Internet as an end-user consumable service using Big Data Analytics and Industrial C...