Proactive quality improvement for Medicare Advantage

Cleo closes Medicare Advantage Star Rating gaps by proactively addressing the real-world barriers members face at home.

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Cleo's Medicare Advantage support closes essential gaps

76.1%

HRA completion in the first 30 days

96%

Annual Wellness Visit (AWV) completion (member reported)

4.92

CSAT member satisfaction score (out of 5)

Cleo fills essential support gaps

Holistic

Our wraparound care supports your Medicare Advantage members and their caregivers, bridging the gap in care coordination

Proactive

We get ahead of issues and address the root cause, helping to stop them before they even start

Cost-saving

Cleo saves money by closing essential Star Ratings gaps and increasing member satisfaction

Cleo's proactive support model improves Star Ratings measures, including:

Screenings & Assessment Measures

  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Annual Flu Vaccine
  • SNP Care Management (HRA)
  • Care for Older Adults - Functional Status Assessment

Health Outcomes Survey (HOS) Measures

  • Reducing the Risk of Falling
  • Monitoring Physical Activity
  • Improving Bladder Control
  • Improving or Maintaining Physical Health
  • Improving or Maintaining Mental Health

Transitions of Care Measures

  • Transitions of Care (TRC)
  • Plan All-Cause Readmissions (PCR)
  • Follow-Up After Emergency Department Visit for People with High-Risk Multiple Chronic Conditions

Medication Adherence Measures

  • Medication Adherence for Diabetes
  • Medication Adherence for Hypertension
  • Medication Adherence for Cholesterol

Proactive Risk Identification

Cleo leverages risk assessments for the entire population, not just highest-acuity cases, to proactively identify high-risk members, such as fall risk, social isolation, and others.

Improved health outcomes via unlimited human and digital support

Engagement with dedicated 1:1 Cleo Guides, Specialist sessions, group coaching, and digital Support Plans throughout the entire care journey drives improved outcomes, such as emotional wellness and decreased medical spend.

Seamless navigation to plan programs and benefits

Cleo simplifies access and education of plan programs and benefits through one centralized benefits hub, using Social Determinants of Health (SDOH)-informed care coordination.

In-network, enhanced care coordination

Reduce out-of-network spend and increase health plan clinical program utilization through support in finding quality care, in-network providers, and community resources.

Medicare Advantage Case Study

How a high-powered Medicare Advantage Plan closed gaps and improved health outcomes with Cleo

Increase Star Ratings

Want to improve Star Ratings for your Medicare Advantage plan? Invest in caregiver support.