Article
May 14, 2025
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How We're Different from Other Engagement Vendors

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Member Engagement
Rewards & Incentives
Data consolidation

A true member engagement partner does more than send outreach. The right partner turns engagement into a seamless, coordinated experience that improves plan performance across the board—driving quality measure gains, cost savings, higher revenue, improved compliance, and reduced operational burden.

Where results become your competitive edge

In today’s landscape, every vendor must deliver measurable ROI. For member engagement, that means impact across medical cost savings, retention (and the acquisition savings that come with it), digital outreach efficiency and risk adjustment revenue and accuracy.

That’s why we’ve invested in our Quality Relationship Management™ (QRM®) platform—and in how it connects to our member-facing app. With it, plans can act on data and track real-time results. The outcome? On average, our partners see a 13.8x ROI within three years.

“Our technology was initially built inside a health plan to help get members take the most important actions  — everything from screenings to getting to a provider or staying on their medications,” says Bryce Williams, CEO. “We embedded those actions into our platform. What sets us apart is our ability to translate complex quality data into simple, personalized guidance for each member — whether they’re in a Medicare Advantage plan, a Medicaid plan, an ACA plan, or any other specialty plan. Then we take it a step further by communicating those next steps in plain, accessible language. And everything maps back to the measures plans are being scored on.”

Our plan partners are achieving:

  • 46% increase in provider visits and clinical gap closure.
  • 10% increase in retention, a $128 per member per year savings in acquisition costs.  
  • $336 in medical cost savings per registered member per year.  
  • $248 per member per year increase in risk adjustment revenue.  
  • 83% of Star measures can be addressed with our Health Action Catalog.

But what makes us different? With so many engagement vendors out there, how do you narrow it down to the right vendor for you? It all comes down to our four main differentiators:

  • Execute campaigns faster  
  • Coordinated omnichannel engagement  
  • End-to-end rewards  
  • Robust, real-time reporting

Campaign speed

We hear from new client partners often how the speed of campaign deployment with other engagement vendors is underwhelming at best. Campaigns often require long development timelines, limiting agility. We know flexibility throughout the program year is important, especially when activating under-engaged populations. That’s why we take a different approach.

At the start of a program year, we partner with you to understand your goals and prior performance to recommend an outreach strategy driven by engagement best practices, ongoing A/B content testing and behavioral science to deliver the best outcomes in member engagement. We regularly monitor performance so we can course-correct quickly if results are falling short.

Once you’re set up in QRM®, you can launch your own single campaigns in 15 minutes or less, using a library of templates already approved by your team and the right regulatory bodies.

This upfront strategy enables you to adapt quickly — reprioritizing efforts and targeting hard-to-reach members without overwhelming them.

Omnichannel engagement

Most engagement vendors still operate as disconnectedpoint solutions that don’t treat all communication channels as a system. They offer multichannel, not true omnichannel engagement, which means members are likely still receiving outreach in an uncoordinated way, creating abrasion, distrust and inaction.

At Healthmine, our digital-first, omnichannel approach delivers better outcomes by putting members at the center and prompting them to act.


Omnichannel Multichannel
  • All channels are a system that work together
  • Puts the member at the center of the equation to determine which channel is the right one
  • Reduces likelihood of duplicative outreach and increased likelihood the member takes the desired action
  • Each channel operates independently
  • More focus on the delivery mechanism than the recipient’s preferen
  • Greater likelihood the member is getting repetitive outreach and ignores the call to action


Every Healthmine campaign puts the member at the center of the plan, factoring in their preferred outreach and following up, when necessary, via higher touch modalities.

Rewards

A plan’s incentives strategy is a critical component of driving gap closure, especially for hard-to-engage and disadvantaged populations. Healthmine’s comprehensive rewards strategy ensures rewards are:

  • Inclusive of retailers in the member’s local area.  
  • Easy to redeem.  
  • Fulfilled in days, not weeks.  
  • Supportive of social needs, like healthy food, diapers or other basic needs.  
  • Informed by member behavior so you’re rewarding the right members for the right activities.  
  • Trackable, to ensure spending drives real impact.

Healthmine’s reward programs are designed check all these boxes and more — building plan loyalty, continuously driving members to their next best action, delivering measurable outcomes and establishing high member satisfaction. Our digital and physical rewards are fulfilled within 48 hours of member redemption, building significant trust and satisfaction with their health plan. That positive reinforcement encourages members to keep completing health actions.

Reporting

Without robust reporting, it is impossible for health plans to meet in-year goals that lead to sustained profitability. When health plans partner with Healthmine, they’re gaining valuable insights with real-time dashboards.

Some of our key reporting features include:

  • Member-level insights: upcoming health actions, rewards activity and survey responses, member portal impersonation, member sentiment and call center encounters.  
  • Program management to understand risk scores, engagement scores, member health actions, rewards usage and up-to-date liability, rewards redeemed vendor breakdown.  
  • Survey insights, including deployment schedule and recipients, engagement rates for each of our survey types, responses via digital HRAs and imported mailed survey data, and response trends.  
  • Overall engagement, such as custom member lists based on member data, campaign trends by week, communications performance data like open and click rates, member responses, opt-outs and undelivered messages.

Want a closer look at our full reporting capabilities? Get in touch.

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