Boost Health Plan Performance and Member Engagement
We combine human-first engagement with proprietary, innovative technology to deliver results for our health plan clients, on the members they are not able to reach.
86Borders pairs locally based Care Coordinators with our ConnectAllCare platform to deliver the kind of engagement other vendors can’t. Together, we help health plans reach the hardest-to-reach members, uncover what’s standing in the way of their care, and follow through until needs are met.
Engagement That Drives Outcomes
Most vendors measure engagement by texts sent, voice messages left, or calls attempted. We define engagement by true person to person conversations resulting in actions taken — members completing screenings, closing gaps in care, and improving their health.
How Our Model Works
Engage and Activate:
Start with a real conversation, not a script.
Address Social Needs:
See the full context of members’ lives.
Close Gaps in Care:
Support preventative screenings and follow-through.
Track Results:
Measure outcomes, not just activity.
Our Interventions Include
Preventive screenings such as mammograms, colorectal exams, diabetic retinal exams
Medication adherence and statin compliance support
Coordinating appointments with providers
Addressing social determinants like diapers, food, housing, and transportation
Engaging multiple family members in one outreach
Confirming results and following up until needs are fully met
Direct HEDIS Gap Closure & Reporting
Beyond coordinating care, 86Borders supports direct gap closure across seven HEDIS measures, including blood pressure control, depression screening and follow-up, social needs screening, and post-emergency department follow-up.
Our Care Coordinators complete qualifying assessments and screenings, document clinical findings, and capture the information needed to support health plan quality reporting.
Through standardized, NCQA-aligned workflows, clinical oversight, and data validation, we also provide accurate, traceable supplemental data to support health plan validation and audit readiness.
Better Care, Lower Costs, Stronger Relationships
Stronger quality scores (Stars, HEDIS®) through measurable improvements
Lower total cost of care by driving preventive screenings, reducing avoidable ER/IP utilization and assuring medication adherence
Greater loyalty and retention, as members feel supported, not just contacted
“86Borders provides a very important solution for improving member engagement to maximize value-based opportunities.”
Vice President at a National Health Plan
Member Education Publications
86Borders develops professionally written publications that help health plans educate, engage, and support members beyond traditional outreach. These publications reinforce preventive care, explain benefits, promote healthy behaviors, and connect members with valuable resources—all in a format members actually enjoy reading.
Our publications can be customized, co-branded, or fully white-labeled for health plan partners.
Let’s redefine engagement together. With 86Borders, health plans get real humans, real conversations, and real results.