Health Plans & Payors
Convenient testing programs that close care gaps and improve quality scores.
Health plans need to demonstrate value to members while hitting quality benchmarks like HEDIS and Stars ratings. At-home testing programs drive member engagement, close care gaps for hard-to-reach populations, and generate actionable health data — all without requiring an office visit.
Quality Measures We Impact
HEDIS
Healthcare Effectiveness Data and Information Set compliance
Star Ratings
CMS Star Rating improvement through quality measures
Care Gap Closure
Identify and close gaps in preventive care
Member Engagement
Drive higher participation in health programs
Business Models We Enable
HEDIS/Stars Gap Closure
Self-collection A1C, colorectal cancer screening, and other HEDIS-aligned test kits mailed directly to members with automated results reporting.
Member Engagement Campaigns
Branded kit programs that demonstrate plan value, improve retention, and generate real health outcomes.
Chronic Condition Monitoring
Ongoing self-collection testing for members managing diabetes, cardiovascular risk, and other chronic conditions.
Supplemental Benefit Programs
Testing kits as a supplemental benefit offering — easy to administer, high perceived value, measurable ROI.
Data-Driven Member Engagement
Close care gaps faster with testing programs designed to reach members where they are. Our self-collection and on-site options remove barriers to participation, driving higher completion rates for screenings and preventive care.
Real-time analytics dashboards give your quality team visibility into program performance, member compliance, and outcome trends — so you can act before reporting deadlines, not after.
Explore Our Capabilities
Frequently Asked Questions
How does at-home testing help close care gaps?
At-home testing removes common barriers to preventive care such as transportation, scheduling conflicts, and time away from work. By delivering collection kits directly to members, health plans see significantly higher completion rates for screenings that drive HEDIS measure compliance and Star Rating improvement.
Which HEDIS measures can at-home testing programs support?
Neelyx at-home testing programs can support multiple HEDIS measures including colorectal cancer screening (COL), kidney health evaluation for diabetes (KED), and HbA1c testing for diabetes care (CDC). Our team works with your quality department to align test panels with your priority measures.
How are results reported back to the health plan?
Results are delivered electronically through secure HL7/FHIR interfaces, direct API integration, or our web-based dashboard. Real-time reporting gives your quality and care management teams immediate visibility into member completion rates, results, and follow-up needs.
Can testing programs be customized for specific member populations?
Absolutely. We design targeted testing programs for specific member cohorts based on risk stratification, geographic location, chronic condition status, or care gap priority. Kit branding, outreach materials, and test panels can all be tailored to maximize engagement with each population segment.