CLEO FOR MEDICARE ADVANTAGE Quality improvement, risk-free.
Engage high- and rising risk members, improve Star Ratings through HEDIS gap closure, enhance member experience, and strengthen care coordination.
STAR RATINGS 2029
CAHPS, HOS, & HEDIS
will account for 65% of a plan’s
Star Ratings starting in Measurement Year 2027.
Are you prepared?
Cleo helps you deploy a targeted Medicare Advantage strategy to:
- Engage high-and rising risk members
- Improve Star Ratings through HEDIS
gap closure - Enhance member experience & positively impact CAHPS
- Strengthen SDOH-informed care coordination
The problem with digital-nudge outreach
Automated nudges and gift cards may close a simple screening gap, but they hit a wall with your most complex (and expensive) members. This approach is too transactional for trusted relationships to form.
When a member misses an appointment, a text message can’t fix a lack of transportation, a confusing diagnosis, or a burnt-out family caregiver.
You don’t need more automation. You need more advocacy. That's where Cleo comes in.
Cleo's full-spectrum Medicare Advantage platform
Care Coordination & Management
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Scalable extension of care management teams
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High-touch multi-channel support between clinical encounters
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Closed-loop provider & caregiver coordination for care continuity
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Transitions of care & post-discharge follow-up and support
Star Ratings & Quality Improvement
- Clinical outcomes gap closure & improvement (HEDIS & Pharmacy)
- Health Pulse HRA for SNP measure and Model of Care compliance
- CAHPS & HOS Survey impact and conditioning
- Improvement measure impact – "double dip" on Part C & D
Health-Related Social Needs (HRSN)
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Food, housing, transportation, and caregiving benefit navigation support
- Resolution-focused, not just referral
- Integrated into care management workflows
- Removes non-clinical barriers to accessing care
Medical Spend Reduction
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Reduces avoidable ED admissions and readmission
- Increases medication adherence & preventative care
- Integrates clinical/social care to redirect members to appropriate care settings
HRA completion in the first 30 days
CSAT member satisfaction score (out of 5)
Annual Wellness Visit (AWV) completion (member reported)
reduced fall risk in alignment with HOS
CLEO QUALITY IMPROVEMENT
Boost your Star Ratings measures, including:
Screenings & Assessment Measures
Breast Cancer Screening (BCS)
Colorectal Cancer Screening (COL)
Annual Flu Vaccine SNP Care Management
(HRA) Care for Older Adults - Functional Status Assessment
Depression Screening and Follow-up (New for Stars 2029)
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
Care Transition Measures
Transitions of Care
Plan All-Cause Readmissions
Follow-Up After Emergency Department Visit for People with High-Risk Multiple Chronic Conditions (FMC)
Medication Adherence Measures
Medication Adherence for Diabetes
Medication Adherence for Hypertension
Medication Adherence for Cholesterol
WHAT'S THE DIFFERENCE?
How Cleo compares
| Traditional "Nudge" Approach | The Cleo Advantage | |
|---|---|---|
| Approach |
Transactional |
Relational |
| Primary tool | One-size-fits-all outreach | Human Guides and caregiver support |
| Star Rating Focus | Measure Specific | Holistic – Care Gaps, member experience, education, and benefits navigation |
| SDoH Approach | Data Identification | Boots-on-the-ground Resolution |
| Member Sentiment | "My plan sends me lots of reminders." | "Wow, my plan actually helped me take care of myself & my family." |
| Outreach approach | Machines that send messages | Humans that solve problems |
CLEO'S CUSTOMERS
What they're saying
"One of the things we see by involving Cleo is enhanced member satisfaction, streamlining the care coordination and provide comprehensive support — which enhance member satisfaction and improve key outcomes within the Medicare Star Ratings system."
Dr. Dirk Slaker
Chief Medical Officer, Sonder Health Plans