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Extend your solution for effective member experience

BPaaS enabled Member Health Risk Assessment and Star Rating improvement solution

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  • Identify or Predict potential members
  • Stratify existing Members based on risk score & models
  • Member portal enabling Members to fill the HRA form online
  • Prioritize outreach process for each Members based on their risk score and days left to complete HRA

Wipro's HRA360 is an end-to-end Member Health Risk Assessment and Star Rating improvement solution. It is a modular solution which can be integrated with the existing platforms such as Membership, Agency & Broker Systems and Portals.

The Health Risk Assessment (HRA) is the link between the member experience and the performance of the health plan. The BPaaS enabled HRA360 provides everything under one roof - including member identification, risk stratification, configurable questionnaires, member outreach programs, risk scoring, CMS reporting capabilities and Star rating improvements.

Integrated with Agent system for Pre enrollment and post enrollment scenarios


Increase in Member Engagement through Data driven campaigns


Cost Reduction through on demand BPaaS


Increase in HRA Adoption Rate

HRA360 key components

12-15% success rate through targeted Voice mails and Auto Dialers

HRA360 Business Benefits

Enterprise solution designed for Pre enrollment and Post Enrollment scenario

Data mining & Predictive data model to gauge proactive actions, improving member experience

Auto dialers and target voice mails to increase call connect/success rates & Member engagement

Helps in compliance with CMS regulations through audit trail & CMS compliance reports

Multi-channel approach for Member form intake as well as outreach campaign

Integration with Member360 to prepopulate most of the information enabling Members to fill the form easily

Stratify existing Members based on risk score & models and easy prioritization

Identify partially filled forms and help capture Member engagement follow ups through calling support

Managing & Transforming a leading Fortune Five Health Insurance Organization based in the USA

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Accurate and timely reconciliation of medicare enrollment and payments

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A comprehensive Encounter data processing system

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