The public UHC site is a polished acquisition funnel. Once someone enrolls, they have a member portal, a PDF, and an 800 number. We fill the gap between enrollment and comprehension — inside your existing member portal, under your brand.
Compliance sets the floor. Your competitors are racing to the ceiling.
Member experience scores (CAHPS) directly drive Star Ratings. Low stars = reduced MA plan revenue. Plans lose hundreds of millions of dollars per star tier.
Studies show 75% of members don't understand their Explanation of Benefits. Confusion drives unnecessary ER visits, redundant calls to member services, and plan-switching at renewal.
Large self-funded employers choose carriers partly on member experience scores. A differentiated education platform is a tangible value-add in renewal conversations.
Regulators mandate disclosure. We help members actually understand.
| Regulatory Requirement | Current Standard | With Our Platform |
|---|---|---|
| ACA SBC requirement | Static PDF, 40+ pages | Interactive, searchable, plain English |
| CMS member communication standards | Annual mailed booklets | Always-on, on-demand answers |
| NCQA health literacy standards | Reading level compliance only | Comprehension-first design |
| HEDIS member engagement | Passive — measure after the fact | Active education drives better scores |
A fully white-labeled platform that looks and feels like your product — live in days.
"Each additional Star Rating point is worth an estimated $400–$500 per member per year in bonus revenue for a Medicare Advantage plan."
— CMS Medicare Advantage Quality Bonus Program
For a plan with 500,000 MA members, moving from 3 to 3.5 stars represents up to $250M in additional revenue. Member experience is a line item.
We'll build a custom demo with your brand in 48 hours — no commitment required.