PremiumAssist Dual Eligible Enrollment & Retention

Centauri's PremiumAssist Dual Eligible Enrollment & Retention solution identifies eligible Medicare Advantage health plan members who qualify for dual eligible status through outreach, enrollment, and redetermination services.

CMS has increased their focus on dual eligibility members and their clinical comorbidities. The in-year (concurrent) capitation model puts plans at higher risk for loss of significant revenue if members lose their dual benefits or leave the plan, increasing the need for retention efforts. Failure to recertify is most frequent cause for loss of dual enrollment (and dual plan revenue) among Medicare beneficiaries.  PremiumAssist utilizes a proactive engagement strategy with members to promote retention of dual status and reduce traditional fall-off rates by up to 50%.

Our services can help the majority of dual eligible members receive $174 a month towards their standard premium. For those on a fixed income, a $1,980 a year savings can make a noticeable difference in their quality of life. And, with the SocialService+ Social Determinants of Health (SDOH) option, members can also receive assistance with non-medical community benefits that they would not have otherwise known existed.