Quality Relationship Management™

QRM® empowers health plans to engage with their members at crucial moments by consolidating real-time member data for optimal performance, providing personalized experiences and streamlining internal operations.

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Develop Transformational Relationships with Members

Integrate outreach, surveys and analytics into a single platform to deliver smarter, more effective engagement at scale while reducing costs and inefficiencies.

Engage

Engage

Motivate the right members to take the right action at the right time.

Relate

Relate

Unify member data to know and understand the right path for each member.

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Manage

Monitor the results of every interaction with your members and action on the results.

Optimize

Optimize

Continuously evaluate performance to enhance communications, outreach strategies and operational effectiveness.

Engage, Activate and Reward Members

The combination of a powerful platform, a collection of member communication preferences and omnichannel outreach allows us to reach out to the right member, the right way and at the right time to drive action.

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Member Engagement

Deliver omnichannel outreach at scale to engage members in their health and close care gaps, improve quality measures and reduce total cost of care.

 

Member Engagement
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Smart Rewards & Incentives

Design flexible incentive structures that use points or dollars to reinforce healthy behaviors and improve health outcomes.

 

Smart Rewards & Incentives
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Member Experience

Keep a pulse on member satisfaction through digital surveys, including mock-Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Net Promoter Score (NPS®) surveys, and a continuous feedback loop with real-time results.

Member Experience
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Digital Health Risk Assessment

Maximize Health Risk Assessment (HRA) compliance and uncover risk in your population using a digitally administered HRA, certified by the National Committee for Quality Assurance (NCQA).

Digital Health Risk Assessment

Engage, Activate and Reward Members

The combination of a powerful platform, a collection of member communication preferences and omnichannel outreach allows us to reach out to the right member, the right way and at the right time to drive action.

Parent with child looking at a tablet

Member Engagement

Deliver omnichannel outreach at scale to engage members in their health and close care gaps, improve quality measures and reduce total cost of care.

Member Engagement
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Smart Rewards & Incentives

Design flexible incentive structures that use points or dollars to reinforce healthy behaviors and improve health outcomes.

Smart Rewards & Incentives
Two women walking with linked arms

Member Experience

Keep a pulse on member satisfaction through digital surveys, including mock-Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Net Promoter Score (NPS®) surveys, and a continuous feedback loop with real-time results.

Member Experience Improvement
Smiling women sitting outside looking at phone

Digital Health Risk Assessment

Maximize Health Risk Assessment (HRA) compliance and uncover risk in your population using a digitally administered HRA, certified by the National Committee for Quality Assurance (NCQA)

Digital Health Risk Assessment

Is Your Solution Producing Results?

Healthmine’s combination of a scalable, omnichannel engagement platform, results-driven program design, and industry-leading subject matter expertise help clients make a powerful impact on plan performance and health outcomes. Utilize our solutions to implement personalized, ongoing member engagement strategies that close care gaps, enhance member experiences and address your quality improvement initiatives.

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Medication adherence
initiatives are

6x more

effective with Healthmine's digital first approach

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Comprehensive preventive care outreach led to

4.2 : 1

risk adjustment ROI

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Members engaged with Healthmine complete

4x more
health actions

Strategies for Improving Plan Performance

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Find the Right Engagement Partner

Develop a meaningful digital health partnership when you design your Request for Proposal process with these components.

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Reach Your Medicaid Goals

Achieve financial success when you augment your quality improvement initiatives with data-driven strategies.

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Create CAHPS-Centric Programs

Tap into four strategies for prioritizing member experiences in your Star Ratings work plans.

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Powerful Tools for Sustainable Improvement

Opportunity Manager OUR PLAN-FACING APPLICATION

Consolidate disparate data into regularly updated dashboards to rapidly identify opportunities to improve revenue, efficiency and performance. Opportunity Manager aligns continuous data feeds with comprehensive outreach tools to coordinate data-driven member engagement.

Personal Health Assistant OUR MEMBER-FACING APPLICATION

Continuously guide members to the next best health action with a user-friendly mobile application and webpage. Personal Health Assistant delivers personalized engagement directly to members through clinically derived to-do lists, member-centric questionnaires, health education materials and easy-to-use rewards.

Opportunity Manager Personal Health Assistant

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