TenderHeart's Member Engagement Programs Show Significant Benefits to Medicaid Health Plans' Success

In a significant stride towards improving healthcare accessibility and quality, TenderHeart Health Outcomes has reported a noteworthy enhancement in member engagement programs, leading to substantial increases in HEDIS (Healthcare Effectiveness Data and Information Set) scores. According to a recent release from the National Committee for Quality Assurance (NCQA), partner Medicaid health plans utilizing these innovative programs have witnessed an average improvement of 10.7% in their HEDIS metrics. This remarkable achievement underscores the potential of targeted engagement initiatives to foster better health outcomes, particularly for vulnerable populations.

The TenderHeart Health Rewards programs are particularly designed to motivate members to actively participate in preventive and follow-up care, a crucial factor in ensuring healthier communities. One of the standout accomplishments of these programs includes a 17.9% increase in the rate of well-child visits within the first 30 months of life. Recognizing the importance of regular pediatric care, TenderHeart incentivizes these visits through the provision of essential baby items for attending appointments, thereby aligning health access with tangible rewards for proactive health management.

Tommy Lewis, CEO of TenderHeart, stated, 'In a time when Medicaid plans are facing considerable scrutiny to illustrate their value, TenderHeart's initiatives are yielding visible results for our affiliates. Above all, these HEDIS improvements translate into enhanced quality of life for children and new mothers — the core mission that drives our collaboration with partners.' This commitment to improving health outcomes is reflected further in the specific metrics reported, including a 7.2% improvement in Timeliness of Prenatal Care and a notable 13.2% enhancement in Postpartum Care. Additionally, TenderHeart has also registered increases in follow-up care for children prescribed ADHD medication, thereby supporting diverse health needs across demographics.

It is noteworthy that the changes attributed to ADHD follow-up care were measured against a revised HEDIS standard established in the NCQA 2024 data, making prior year comparisons unfeasible. Therefore, metrics from 2021-2023 were utilized to demonstrate progress in this area.

TenderHeart Health Outcomes is dedicated to advancing health metrics that significantly impact the well-being of its clients. Their array of customized programs caters to distinct community health requirements. Some key offerings include a value-based Incontinence Management initiative aimed at improving patient outcomes and reducing related healthcare expenditures, alongside a Pregnancy Rewards program which helps expectant families by providing essential baby gear, such as breast pumps and car seats. Additionally, their Sensory Support Programs feature interactive therapeutic kits for members with specific sensory needs, promoting inclusivity in health access.

The feedback regarding these innovations is overwhelmingly positive, demonstrating that such programs are essential for enhancing health engagement among members. For inquiries regarding TenderHeart's Health Rewards offerings, interested parties can reach out to Jordan Kirchhoff, the Director of Business Development.

In a landscape where health plans increasingly face pressure to show efficacy and value in their services, the strides made by TenderHeart Health Outcomes not only position them as a leader in this critical sector but also highlight the company’s relentless dedication to improving health outcomes that are pivotal to their members' lives. As states and communities continue to prioritize public health, TenderHeart stands ready to support these goals through measurable, results-driven healthcare initiatives.

For any further details on the program or to engage with team members involved in these initiatives, contact Annie Melia via email or phone for expert insights into the workings and outcomes of these pivotal health engagement strategies.

Topics Health)

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