Health care provider surpasses marketing goals using FICO Segmentation Models

When Healthways, Inc., the nation’s leading disease management company, launched a three-year disease management pilot program, it needed to see a 5% reduction in the average healthcare costs of the total provided Medicare beneficiaries. Failure would require Healthways to refund all fees received from the Centers for Medicare & Medicaid Services (CMS), a department of US Health and Human Services. Therefore, it was incumbent to engage and retain as many of the beneficiaries as possible for the duration of the pilot program.