Health Plans

Driving Better Member Outcomes

We help payers design and deliver personalized digital-first engagement that guides members through every stage of their health journey. From onboarding and prevention to chronic care and recovery, we combine intelligent automation, compassionate communication, and data-driven insights to improve outcomes and increase member satisfaction.

Start A Capability Review

Health Plans Struggle to Drive Member Action Where It Counts

Health plans need to engage members across onboarding, prevention, chronic care, and recovery. That includes assessments, reminders, and incentives. But when communication falls short, participation drops and experience scores decline.

HealthVia™ changes this.

HealthVia powers the engagement layer of total population health. We help plans reach members with timely and personalized outreach that drives the next best action. Messages reach the member at the right moment in the right channel with clarity and consistency.

What HealthVia™ Means for Member Health

HealthVia™ isn’t just another engagement tool.

At the center of this strategy is a framework that helps health plans build stronger member relationships by turning data into action. It starts with defining member personas based on clinical, behavioral, and social signals, then guiding members into care program activation through timely, targeted communication. Behind the scenes, a connected capability platform powers every step using data enablement, prediction, orchestration, and measurement to ensure outreach is relevant, scalable, and effective.

The result is higher participation, better outcomes, and a smarter path to whole-member health.

Explore HealthVia™

Why Health Plans Choose Us

Ready-Built Member Engagement Paths

Applies tested journeys for care, gaps, and retention
Skips building outreach from scratch
Frees plan teams to prioritize impact and goals

Seamless Alignment with Plan Operations

Connects with data systems and reporting tools
Fits into plan infrastructure without major changes
Speeds up interventions without extra overhead

Outcomes That Drive Real Plan Impact

Links outreach directly to STAR and retention goals
Uses real-time results to refine outreach flow
Lifts actions that lower cost and boost results

Core Capabilities That Power Plan Performance

Emerging Risk Detection

Spots rising-risk members early by merging claims, behavior, and activity data.

Preventive Outreach

Activates wellness nudges and closes risk gaps tied to STAR, HEDIS, and retention goals.

Health Encounter Visibility

Supports transitions and reviews by delivering timely context during health episodes.

Post-Discharge Activation

Reengages members after discharge to prevent readmits and support recovery.

Ongoing Engagement

Maintains touchpoints across chronic journeys with minimal team effort.

Performance Insights

Tracks outcomes in real time and aligns outreach to evolving plan priorities.

Let’s activate your framework strategy today!

Getting started doesn’t have to be hard. HealthVia makes the path clear—and once we begin, results build fast.

Step 1

Take Our Healthcare Engagement Maturity Assessment

Step 2

Access Your Results

Step 3

Depending on where you are at, we can assist.

Starting from scratch – create a roadmap
Rescue existing strategic and implementation efforts
Subject matter expert resources to fill gaps on current project(s)
Provide strategic oversight and governance

Key Metrics for Health Plan Success

Increase in preventive screenings & chronic care adherence

Reduction in hospital readmissions

Improvement in Star Ratings

Lower medical loss ratio (MLR)

In cost avoidance

PEPY reduction in medical costs

* When scope and objectives are maintained throughout project.

Testimonials

“I would recommend Embel Assist to any organization that needs subject matter experts in marketing execution and consumer engagement”

Sr Manager, Consumer Engagement Operations

National Healthcare Product & Services Company

“They take the time to understand the company needs, processes, the workstyles and helped to identify how we can incorporate technology to achieve our process goals”

Sr Director, Marketing Operations

National Health Insurance Company

Embel Assist has been instrumental in the successful deployment of our predictive marketing platform. We will not hesitate to hire Embel Assist in the future and would recommend them to any organization that needs subject matter experts in marketing and analytics.

VP, Technology Enablement

National Health Insurance Company

“They provided not only the technical expertise in developing the reports but were able to work with our internal stakeholders in understanding our needs and guide us down the right path”