For health plans

Enroll more members into care management, at scale.

With an SMS-first engagement layer built on a healthcare CRM, Moodr is helping health plans activate hard-to-reach members and improve care plan enrollment and follow-through.

Moodr powers high-touch, relationship-based outreach for Medicaid and Medicare plans—so your teams can support members at scale and drive measurable quality and cost results.

Schedule a Meeting How it Works
Moodr member engagement dashboard

Instant Access

SMS-first engagement—no portals or app downloads for members

Seemless Integration

Integrates seemlessly with existing management platforms

Private & Secure

Enterprise-ready privacy and compliance integration

  • Identify

    who needs support now by assessing risks, gaps and rising acuity

  • Engage

    with members proactively via SMS and workflows

  • Resolve

    barriers fast with closed-loop navigation and follow through

  • Impact

    proven through clear reporting tied to quality and utilization

  • Quality

    performance through HEDIS/Stars-related gaps and adherence support

Care team member supporting a patient

Customer story

From Pilot to Statewide Rollout

Aetna Better Health of West Virginia piloted Moodr with six "super-users" to improve enrollment into care management plans. The goal was a 15% increase in care-plan enrollment and the results came in closer to 57% increase in care-plan enrollment. Following the pilot, Aetna expanded Moodr to additional care managers statewide, using SMS-first outreach as part of a measurable enrollment workflow.

Aetna Better Health of West Virginia
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Workflow

A Repeatable Team-run Engagement Workflow

Moodr is a SMS-first engagement layer that helps your care management and member services teams move members through a close-loop tracking at every step.

  • Connect to your existing systems

    Moodr integrates with your current CRM, care management tools, and data feeds so you can activate outreach from the sources you already use.

  • Identify

    Target members based on risk, gaps, rising acuity, program criteria, or simple lists and segment them by population, program, or priority.

  • Engage

    Launch compliant SMS outreach with configurable message flows, timing, and routing that is built for real-world response patterns.

  • Route & Resolve

    Guide next steps through structured workflows schedule, complete screening, connect to services, create referrals, or escalate to a care manager.

  • Close the Loop

    Track follow-through and document resolution so you're not just "sending messages", but instead you're proving communication and action is taking place.

Outcomes

Measurement that Ties Activity to Performance

  • Reach & Response

    See delivery, patient response rates, and provider time-to-respond

  • Conversions

    Track who enrolls, schedules, completes screenings, or accepts referrals

  • Follow-through

    Follow completion rates, drop-off, and closed-loop resolutions

  • Audit-ready Records

    Access structured documentation of outreach and outcomes

  • Program Performance

    Stats about populations, regions, vendors, clinics, or cohorts

Use cases

High-impact Plan Use Cases

Care Management Enrollment

Increase opt-ins and reduce drop-off with automated follow-ups

Quality Gap Closure

Reminders and guided actions for screenings, labs, preventive care, adherence

Maternal Health

PMAD screening, perinatal SUD outreach, ongoing check-ins, escalation pathways

Behavior Health Management

Retention, touchpoints between visits, risk escalation workflows

SDOH Navigation

Needs are captured, referral is made, confirmation of connection solidified and then have access to resolution tracking

Your teams can run consistent engagement programs at scale and prove impact in a way that leads to quality and utilization.