Missed Data, Missed Dollars: The Member Insights That Risk Models Are Blind To

With member engagement driving everything from Star Ratings to care gap closures, health plans are rethinking how they connect with members—pairing rich data with human-centered strategies to create real moments of influence.

In this episode, we explore how payers are:

• Combining multiple assessments, social risk data, and AI to build actionable member profiles

• Using empathy-driven outreach and concierge-style service to build trust

• Leveraging real-time insights to engage members at the right moment

• Aligning cross-functional teams to accelerate innovation and close gaps

• Turning clinical, social, and behavioral signals into measurable quality gains

Whether you focus on Stars, Medicaid quality, or member experience, you’ll walk away with practical strategies to engage more effectively and improve outcomes.

Download the Episode Guide:
Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

Download the Episode Notes and KPI’s:
Get the moderator notes and the Key Points of Interest from the episode.  Download here.

Icario Client Summit Information:
Additional details about the Icario Summit - Moments of Influence - taking place October 21-23, 2025, can be found here.

Thank you to Icario for supporting this episode.
Icario is a leading health action platform that helps payers connect with members in ways that drive measurable results. By combining behavioral science, data-driven personalization, and omnichannel outreach, Icario motivates members to complete critical health actions—closing gaps in care, improving Star Ratings, and reducing avoidable costs—while delivering an experience that feels relevant, human, and engaging. Learn more at www.icariohealth.com.

How to Engage:
Chat with Us: Share your thoughts with Producer Nicole Roberts at [e-mail]