• Managed Care

    Managed Care

    The rules are changing in healthcare, and the shift away from a wholesale orientation creates a need for health plans to think and act like retailers — but with a healthcare perspective.

    As a result, building loyalty with members has never been more important. How you engage members, develop products, and leverage your brand will all change, especially given the constraints of market reform and the cost pressures plans are under today. Four opportunities to build loyalty stand out:

    engaging consumers in critical moments of truth

    personalized messaging for distinct segments

    real-time experimentation

    collection of insights to improve program results

    Managed Solutions for Managed Care

    Loyalty & Member Management

    Loyalty Lifecycle


    Win-Back & Transition Management

    Late Payment

    Operational & Administrative

    Go Green

    Coordination of Benefits

    Young Invincibles Insights

    Why I Have Health Insurance

  • Pharmacy


    The pharmacy business is becoming increasingly complex with new plan designs, direct-to-consumer programs, consumer-driven healthcare, value-based design, and client customization. Adding to the complexity are mounting pressures around price, regulation, and the need to demonstrate value, service differentiation, and health outcomes.

    To address this, Pharmacy Benefit Managers (PBMs), pharmacies, and health plans are all looking to scale their businesses by employing innovative technology; targeting consumers more effectively; and driving health outcomes and reducing pharmacy trend. Understanding when to reach out to consumers, how to engage them, and what messaging compels them to act requires insight-driven data and coordinated channels of communication.

    Managed Solutions for Pharmacy

    Improving Clinical Outcomes

    Medication Adherence

    Medication Therapy Management

    Trend Management


    Therapeutic Interchange


    Operational Efficiency

    Order Status

    Pharmacy Retention

    Refill Reminders

    Medication Adherence

    The Impact of Messaging & Communications

  • Population Health

    Population Health

    Health plans and population health companies have three primary objectives this year: control costs, improve quality of care, and increase efficiencies. At the same time, healthcare consumers are being asked to take on more personal responsibility for managing their own health.

    It's never been more critical to provide members with education and support. This means engaging individuals in lifestyle and disease management programs; informing them of the importance of medication adherence and preventive screenings; and giving them support during critical care transitions. These are just a few of the critical programs that health plans and population health companies should be looking to implement to improve the health of their members and reduce costs.

    Managed Solutions for
    Population Health

    Quality Improvement & Clinical Monitoring

    Post Hospital Discharge

    Clinical Messaging

    HEDIS Outreach

    Engagement Programs

    Lifestyle Management

    Population Health Management

    Adherence Programs

    Medication Adherence

    Care Plan Adherence

    Post Hospital Discharge

    Transitional Care Requirements

  • Medicare


    The Medicare landscape is ever changing. Reimbursement is dropping and plans need to do more with less. Acquisition and retention of members remains a key challenge, but now we are seeing an emerging focus on quality and performance.

    These dynamics are driving strategies around Medicare star ratings, medical management, and revenue optimization. It's essential that plans maximize every opportunity to capture revenue and achieve differentiation. Plans that strategically leverage objectives will gain a competitive edge this year and beyond.

    Managed Solutions for Medicare

    Acquisition & Retention

    AEP Lifecycle

    Member Profiling


    Member Satisfaction & Disenrollment Survey

    Private Fee for Service Migration

    Pre & Post ANOC Communications

    Quality Improvement & Performance

    Star Power™ (Medicare Star Rating)

    HEDIS Outreach

    Post Hospital Discharge

    Revenue Optimization

    HCC/Risk Score Optimization

    Go Green

    Coordination of Benefits (COB)

    Medicare Beneficiaries

    Most important factor when
    choosing a health plan

  • Medicaid


    The Medicaid population continues to grow due to the expansion in coverage for certain populations under healthcare reform and the poor economy. Yet, chronic disease and healthcare costs are on the rise. Communications innovation is a critical success factor to stretching limited federal and state budget dollars to improve health.

    To engage and motivate this often hard-to-reach population, health literacy, cultural beliefs, language preference and other components to personalization should be taken into account. Programs that support the Medicaid lifecycle — including the member welcome process, driving HEDIS outcomes, reducing health disparities, and redetermination education — will be what sets plans apart.

    Managed Solutions for Medicaid

    Health Management

    HEDIS Outreach


    Population Health Engagement

    ER Utilization Management



    Welcome Programs

    Health Risk Assessment Surveys

    Redetermination Outreach

    Medicaid Outreach

    Barriers to Getting a Colorectal Cancer Screening Across Minority Populations

Create Rich Member Profiles and Leverage Cost-Effective Communications

Learn how to create rich member profiles and communicate with your members the want they want you to.

75% of members were reached
17% provided an email address & opted into email communications

Leveraging Technology to Identify Members with Additional Coverage

Reduce administrative costs by proactively outreaching to members, through multiple channels, to gather information about other coverage.

25% increase in COB savings
15% reduction in administrative costs related to COB

The Rx for Success

Driving refill and adherence rates while trying to shift focus toward improving the member experience continues to be challenging in the world of pharmacy. Discover scalable strategies designed to drive cost savings, operational efficiencies, and increased revenue.

Learn what others are doing and the key areas of opportunity to improve value and health outcomes.

Improve Medication Adherence

Learn how Silverlink helped a leading health plan identify significant and often-overlooked adherence barriers to successfully improve adherence.

85% improvement in statin adherence
27% of members not planning to refill did refill after hearing an educational adherence message.

Reduce Gaps in Care

Drive increased screenings and reduce gaps-in-care through personalized, innovative automation.

23% of population expressed intent to schedule a test (10,000 tests)
5pt increase in colorectal cancer screenings

Support Transitions in Care

improve the reach, efficiency and results of a care transition process using innovative campaign management technology and analytical capabilities.

53% of commercial members engaged in a discharge survey
5% reduction in 30-day all-cause readmissions among commercial members

Maximize Plan Performance

Silverlink delivers outcome improvements across HEDIS, CAHPS/HOS, and adherence measures.

3 and 7 point improvement on HEDIS measures
15% reduction in 30-day all cause readmissions among commercial members

Drive 5-Star Performance

Leverage a data-driven strategy and innovative member engagement to achieve a 5-star rating.

5% improvement in rate of kept appointments for HEDIS screenings
3.6% improvement in emotional health in HOS survey respondents

Support Your Maternal Members

Learn how you can support members from prenatal to early childhood care through multi-channel outreach.

Proactive, mobile outreach to activate consumer healthcare engagement

Scalable technology to efficiently address dynamic market needs

Successfully communicate with hard-to-reach populations

Reach members, using preferred communications channels, on important matters such as well-child visits and immunizations, preventive screenings, health risk assessments, and prenatal and post-partum support.

7pt increase in HEDIS scores for adolescent well-care visits
4pt improvement in cervical cancer screening for those hearing the message

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