Member Engagement AI

Turn Passive Members Into Active, Healthier Patients.

Zabrizon's AI member engagement platform delivers personalised, multilingual outreach that closes care gaps, drives preventive care utilisation, and improves CMS Star Ratings — without adding headcount.

3.2×
Increase in care gap closure rate
vs. manual outreach
45%
Improvement in preventive care utilisation
across engaged members
2.1pt
Average CMS Star Rating improvement
within 18 months
67%
Reduction in member churn risk
for high-risk segments

Why Member Engagement Programmes Underperform

Generic outreach, poor channel targeting, and language barriers mean most member engagement investments fail to move the metrics that matter.

Generic, Low-Response Outreach

One-size-fits-all mailers and automated calls achieve <5% response rates, wasting budget on members who don't need intervention.

Care Gap Closure Shortfalls

HEDIS measure performance suffers as care gaps remain open — impacting quality bonuses, Star Ratings, and Medicaid capitation rates.

Language & Literacy Barriers

45M US adults have limited English proficiency; standard communications fail to reach the highest-risk, most costly member segments.

Reactive Rather Than Proactive

Without predictive risk models, engagement teams react to ER visits and hospitalisations rather than preventing them.

Compliant Member Communications

Every outreach touchpoint meets federal and state regulatory requirements for health plan member communications.

CMS Star Ratings Standards
NCQA HEDIS Certified
HIPAA / HITECH
TCPA Compliant
CAN-SPAM Act
ADA Accessibility
Healthcare AI Experts Available Now

Ready to Improve Star Ratings with AI?

See how Zabrizon's member engagement AI can close your most critical care gaps within the current measurement period.