Kern Family Health Care Uses AI Outreach to Reduce Medi-Cal Renewal Churn
Kern Family Health Care deployed Careforce AI technology to conduct outreach to thousands of Medi-Cal enrollees at risk of losing coverage during renewals. The AI-powered system identified members who had not completed renewal paperwork and facilitated completion of the process. The initiative helped the health plan reduce disenrollment during California's post-pandemic redetermination period. This represents an operational approach to addressing procedural disenrollment that other Medicaid MCOs may consider as states continue eligibility redeterminations.
AI-driven member outreach can reduce procedural disenrollment and improve retention metrics during redeterminations, directly affecting plan revenue and Star ratings performance.
Managed Care
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