Health Plans: Get the End-to-End Advantage

Driving better adherence, lower healthcare costs, and higher quality measures. Our Intelligent Adherence platform unlocks value for health plans by delivering predictive analytics, decision support, and AI-powered patient engagement.

The only all-in-one digital platform built for medication adherence.

Illustration of 5 different factors that go into the Groove Health digital platform: Rx, AI patient engagement, low cost, star measures, and increased numbers.

Health Plans: Get the End-to-End Advantage

Driving better adherence, lower healthcare costs, and higher quality measures. Our Intelligent Adherence platform unlocks value for health plans by delivering predictive analytics, decision support, and AI-powered patient engagement.

The only all-in-one digital platform built for medication adherence.

Illustration of 5 different factors that go into the Groove Health digital platform: Rx, AI patient engagement, low cost, star measures, and increased numbers.

Unlock Value in 3 Key Areas

By driving higher medication adherence rates, we unlock value for health plans.

Healthcare Costs
  • Improve medication adherence in your chronic disease population

  • Target highest-cost members first with intelligent analytics

  • Improve population health and reduce avoidable readmissions
Quality Measures
  • Boost medication-related CMS Star ratings & HEDIS scores

  • Identify deficiencies mid-year with forecasted measure scores

  • Proactively engage members who are impacting your star measures
Resource Optimization
  • Take a digital-first approach to adherence

  • Use our intelligent algorithms to call patients at essential times

  • AI-powered interventions are deployed to the right member at the right time
Healthcare Costs
  • Improve medication adherence in your chronic disease population

  • Target highest-cost members first with intelligent analytics

  • Improve population health and reduce avoidable readmissions
Quality Measures
  • Boost medication-related CMS Star ratings & HEDIS scores

  • Identify deficiencies mid-year with forecasted measure scores

  • Proactively engage members who are impacting your star measures
Resource Optimization
  • Take a digital-first approach to adherence

  • Use our intelligent algorithms to call patients at essential times

  • AI-powered interventions are deployed to the right member at the right time

Powerful analytics for you. Delightful technology for your members.

Our Intelligent Adherence platform is the first to combine enterprise-facing technology with member-facing technology, creating an end-to-end advantage. Predictive analytics drive efficiencies for your plan while our member-facing mobile app and conversational-AI deliver targeted digital interventions. The technologies work in tandem, making each other stronger over time.

Illustration of the Groove Health Web Portal on both desktop and mobile.

How it Works

Our platform manages the adherence workflow, from identification of target members through tailored intervention.

Simple graph showing the 3 steps of the Groove Health Web Portal: Identify, Prioritize, and Engage.
Simple graph showing the 3 steps of the Groove Health Web Portal: Identify, Prioritize, and Engage.

How it Works

Our platform manages the adherence workflow, from identification of target members through tailored intervention.

1. Identify Target Members with our PredictiveRx Engine

Our PredictiveRx Engine analyzes data to identify members who are either non-adherent or at risk of becoming non-adherent. Our predictive models are accurate and precise, with much higher performance than retrospective claims analysis and late-to-refill targeting– leading to efficient outreach and streamlined interventions.

Illustration of the Groove Health Web Portal, depicting patient adherence.

2. Prioritize Patients with Intelligent Decision Support

After identifying potential target members, our platform intelligently prioritizes your population to ensure that interventions go to the right member at the right time. Our decision support follows your plan’s goals and can be configured to optimize adherence Star ratings and HEDIS measures with our best-in-class StarGuideRx solution.

3. Engage Members with AI-Powered Digital Solutions

Once members are prioritized, interventions are the next step. In this ever-digital world, and with people answering their phone less often, we believe that lower-cost, highly-scalable digital interventions should be a part of every plan’s intervention arsenal. Groove Health’s best-in-class mobile app and Conversational AI platform serve as an effective outreach tool to improve adherence in your targeted member population.

illustration of Maxwell, the medication assistant AI, in use.

Your Members Will Love Groove Health!

Apple App Store and Google Play Store Reviews

Your Employees Will Love Groove Health!

Apple App Store and Google Play Store Reviews

Looking for new ways to boost your CMS Star measures?

Interested in how the End-to-End Advantage can help you boost your medication-related Star measures? Request a demo!