Medicare Advantage Part C Care Gap Closure
Date
Dec 16, 2025
Author
Rik Renard
Situation
Improving metrics for Medicare Advantage Part C requires significant care coordination, but the current approach leaves much to be desired. VBC organizations often rely on human staff to manage repetitive outreach tasks—chasing patients who don’t reply, sending reminders, and following up manually. At best, these efforts are supplemented with one-off engagement campaigns like sending a text or a mailer, but they’re largely random acts of engagement. The impact? Marginal improvements at the cost of high effort and burnout for care teams.
Complication
This reliance on manual workflows and scattered outreach strategies creates inefficiencies and poor results. Patients disengage when outreach feels generic or irrelevant, leading to low completion rates for preventive screenings, follow-ups, and other care gaps. Worse, without a systematic way to test and refine engagement strategies, teams are stuck using trial and error, making it impossible to scale or optimize. The variability across states only adds complexity—what works in one region might fail in another, but tailoring engagement to those nuances is resource-intensive without the right tools.
Resolution
Care teams use Awell to close care gaps efficiently with a powerful experimentation engine and automated engagement platform. Value-based care organizations design tailored outreach workflows that combine automation with human oversight for maximum impact. Teams can engage patients across multiple channels—physical mailers, text messages, email, or voice AI—while testing different messaging strategies to find what resonates best.
For example, teams use Awell to experiment with variations in language, timing, and outreach channels to determine which approach drives the highest engagement. With real-time insights, organizations identify what works, scale those strategies across their population, and even adapt messaging to state-specific or regional nuances.
By automating repetitive outreach tasks and optimizing engagement strategies through data, care teams close gaps faster and more effectively. Engagement rates rise, care actions are completed, and teams reclaim time to focus on high-value, meaningful interactions. With Awell, organizations move from scattershot outreach to scalable, data-driven success.
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