Boosting Star Ratings & CAHPS with GetSetUp’s AI Assistant & AI Search
Plan your expenses and deductions strategically each year
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Maintain accurate and organized financial records for easy reporting
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Personalized Marketing: AI helps in analyzing customer data to create personalized marketing campaigns
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Use accounting and tax software to make management easier
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AI-Driven Engagement for Higher Star Ratings
For stakeholders of Star Ratings, improving CAHPS scores, HEDIS performance, and member engagement is mission-critical. GetSetUp’s Dedicated AI Assistant & AI Search is a proven solution that helps Medicare Advantage plans enhance member experience, preventive care uptake, and satisfaction scores—key drivers of Star Ratings performance. GetSetUp has spent over five years teaching older adults the most important skills needed to live active, independent lives. With over 10 million classes delivered, we have gathered deep insights into how older adults learn, engage, and seek information. This expertise has shaped our AI’s ability to provide empathetic, accessible, and member-focused guidance—something traditional AI tools often lack. Unlike generic digital assistants, GetSetUp’s AI has been trained to understand the unique needs of older adults, including their vocabulary, learning styles, and concerns about healthcare navigation.
How It Works: Smart, Personalized Guidance
Older adults often struggle to navigate their benefits, impacting plan satisfaction and preventive care utilization. Helen, our AI assistant, eliminates this friction by providing instant, personalized answers to benefit-related questions, guiding members through key topics with structured conversation prompts such as:
- 📌 “What changed in my plan this year?” → Helps members engage with their Annual Notice of Change (ANOC), reducing dissatisfaction from surprise cost increases.
- 📌 “Tell me about my benefits.” → Surfaces underutilized supplemental benefits (e.g., Uber rides to medical visits), improving access to care.
- 📌 “What preventive screenings should I get?” → Encourages timely HEDIS-measured screenings like mammograms and flu shots.
By embedding AI support within plan portals, members get fast, accurate answers, leading to increased engagement and higher member satisfaction.
Member Story: How AI Support Helped Maria Take Control of Her Health
Maria, a 72-year-old Medicare Advantage member, had never scheduled a preventive screening before. When she logged into her plan’s portal to check her coverage, she saw Helen’s prompt: “Want to learn about your preventive care benefits?”
Curious, Maria clicked it. Helen guided her through a conversation, explaining her no-cost preventive screenings and reminding her that she was overdue for a mammogram. With just a few more clicks, Maria scheduled her screening through her plan’s preferred provider network. A few weeks later, the test detected an early-stage abnormality, allowing her to seek treatment before it became a serious health issue.
Because of this proactive AI-driven engagement, Maria took advantage of a benefit she didn’t even know she had, improving her health outcome while also boosting her plan’s HEDIS preventive care scores.
Real Impact: Guided Prompts That Drive Higher Scores
- CAHPS & Star Ratings: Members who receive proactive guidance on benefits and preventive care report higher satisfaction and improved perception of access to care.
- Engagement & Utilization: Members using structured AI prompts spend 3x more time exploring their plan benefits compared to traditional FAQ pages.
- HEDIS Performance: AI-driven nudges increase screening rates, immunization uptake, and medication adherence.
Why This Matters for Star Ratings
- ✅ Improves CAHPS Scores: Members feel more informed and supported, improving plan satisfaction metrics.
- ✅ Boosts Preventive Care & HEDIS Measures: Proactive reminders drive engagement in annual wellness visits, screenings, and chronic care management.
- ✅ Reduces Support Calls: AI guidance decreases reliance on call centers, improving customer service satisfaction ratings.
- ✅ Increases Benefit Utilization: More members use fitness, transportation, and social benefits, leading to better health outcomes and retention.
Customizable AI for Maximum Impact
- 🎯 Up to 40 Custom Prompts to align with Star Ratings priorities.
- 🎯 Seamless Integration within member portals and apps.
- 🎯 Data-Driven Insights on member interactions to optimize outreach.
The Future of Star Ratings Improvement is AI-Driven
With GetSetUp's AI-powered guided discovery, Medicare Advantage plans can proactively engage members, improve CAHPS and HEDIS scores, and drive better health outcomes. Ready to elevate your Star Ratings strategy? Let’s talk.
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.
