AI-Powered Wellness Nudges: The Smarter Way to Keep Medicare Advantage Members on Track

AI-Powered Wellness Nudges: The Smarter Way to Keep Medicare Advantage Members on Track
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At GetSetUp, we know that real behavior change happens when people are engaged and not when they’re distracted by another generic notification. That’s why our new AI-Powered Reminders are designed to reach members at the exact moments they’re already focused on improving their health.

Missed medications, skipped screenings, and untracked chronic conditions are some of the biggest challenges facing Medicare Advantage plans.

The result?

Higher costs, preventable hospitalizations, and lower engagement.

GetSetUp’s solution changes that. With 1,000+ AI-driven reminders, embedded into live peer-to-peer programming, our platform delivers high-impact nudges at the moments when seniors are most likely to act.

Health Reminders, Delivered in the Flow of Daily Life

What makes GetSetUp’s reminders different? They’re not random alerts or static app notifications. Instead, our AI assistant, Helen, surfaces over 250 pre-created reminders during key moments in a member’s journey:

💡 During a virtual fitness class? That’s the perfect time to remind a member to schedule their annual wellness visit or check their Medicare benefits for preventive screenings.

💡 Attending a fall prevention workshop? Helen can nudge members to book a balance assessment or check their eligibility for physical therapy coverage.

💡 Learning about digital skills? That’s the right moment to suggest setting up direct deposit for Social Security or updating Medicare account information.

💡 Joining a nutrition session? A great opportunity to remind members about enrolling in a senior nutrition program or checking their SNAP eligibility.

By embedding reminders in the moments that matter, we make it more likely that members will take action, because they’re already showing strong intent to invest in their health and well-being.

Why This Matters for Medicare Advantage Plans

With increasing pressure to control costs, boost engagement, and improve Star Ratings, Medicare Advantage plans need smarter ways to drive medication adherence, preventive screenings, and chronic care management.

Reduces Hospitalizations & ER Visits – Improves adherence to medications and treatment plans, preventing costly complications.

Drives Preventive Care Participation – Increases screenings, vaccinations, and annual checkups through contextual nudges.

Lowers Healthcare Costs – Supports early intervention and proactive care, reducing unnecessary spending.

Boosts Member Satisfaction & Star Ratings – Encourages engagement in wellness programs and fosters a deeper connection with health benefits.

How Medicare Advantage Plans Can Leverage This AI Solution

AI Assistance can help reduce costs for Medicare Advantage Plan by helping plans to proactively address preventative care. AI Solutions help to provide preventative care solutions that in the long term reduce the need for reactive care support. An AI Solution can: 

📌 Encourage Medication Compliance – Timely, personalized AI reminders prompt members to take prescriptions on time and as directed.

📌 Promote Preventive Screenings – Contextual nudges steer members toward essential vaccinations, checkups, and screenings.

📌 Increase Wellness Engagement – AI guides members toward fitness classes, mental health resources, and healthy lifestyle programming.

📌 Support Chronic Disease Management – Members receive reminders for appointments, treatments, and daily self-care routines.

Customizable & Data-Driven for Maximum Impact

This solution can be customized with specific Medicare Advantage Plan benefits and other ways to tailor assistance to each member. A few common ways to use the tool include: 

🎯 Tailored Messaging – Customize reminders to align with specific health plan goals, from diabetes management to medication adherence.

🎯 Multi-Channel Delivery – Deliver reminders through SMS, email, in-app notifications, or AI chat, ensuring members get the message in the way that works best for them.

🎯 Personalized Member Experience – AI adapts messaging based on user behavior, medical history, and engagement trends, making each nudge more effective.

🎯 Impact Analytics – Track adherence rates, response trends, and engagement outcomes to measure success and optimize strategies.

The Future of Member Engagement: AI-Powered, Peer-Integrated, and Action-Driven

This isn’t just another reminder tool. This is AI-powered behavior change, embedded in real moments of engagement in peer-to-peer wellness programming.

With GetSetUp’s AI-Powered  Reminders, Medicare Advantage plans now have a scalable, intelligent solution to drive member medical adherence, increase engagement, and lower costs—all while improving health outcomes.

The future of proactive member engagement is here. Are you ready?

Contact GetSetUp today to learn how AI-powered reminders can transform adherence, drive action, and improve Star Ratings.

Bring GetSetUp to your organization

We partner with Medicare Advantage plans, dual eligible plans,  healthcare providers, Departments of Health & Human Services, Government aging services and more.