Healthmine’s 2025 Performance Highlights Significant Improvements in Member Engagement and Care Gap Closure
In the competitive landscape of health engagement, where measurable outcomes are paramount, Healthmine stands out. The company, known for driving quality, risk, and member experience improvements, has announced robust 2025 performance, doubling its sales for the second consecutive year. This success underscores Healthmine’s role as a leading tech-enabled member engagement partner for health plans.
Healthmine’s 2025 results are particularly noteworthy, with a 54% higher rate of care gap closure among engaged members compared to non-engaged members across Medicare, Medicaid, Commercial, and ACA programs. “Plans expect their vendors to deliver measurable ROI, and we’re continuing to meet that expectation in a hyper-competitive market,” said Dwight Erskine, Healthmine’s CEO.
Key Insights at a Glance
- Sales Growth: Healthmine doubled its sales for the second year in a row.
- Care Gap Closure: Engaged members closed care gaps at a 54% higher rate.
- Medicare Advantage: Achieved a 34% improvement in gap closure.
- Medicaid Populations: Recorded an 87% overall improvement in gap closure.
Why Engagement Programs Must Move Members to Action
In today’s healthcare environment, simply reaching and engaging members is not enough. Health plans need solutions that guide members to take action. Healthmine’s 2025 results, which include a 54% higher rate of care gap closure among engaged members, highlight the company’s ability to activate diverse populations. This is crucial as health plans face increasing pressure to demonstrate value and improve outcomes. The stakes are high, and solutions like Healthmine’s are essential for meeting these challenges.
Why the Window for Action Is Closing Fast
Just as a gardener must tend to their plants at the right time to ensure growth, health plans must engage members proactively to achieve better outcomes. Healthmine’s 2025 performance, marked by a 54% higher rate of care gap closure among engaged members, underscores the urgency of effective engagement. With CMS intensifying scrutiny on risk adjustment, health plans cannot afford to delay. The clock is ticking, and the need for actionable engagement solutions is more pressing than ever.
Healthmine Mobilizes for Scalable Growth and Client Value
Healthmine is committed to advancing its platform to help payers engage members more efficiently while managing costs and complexity. The company rolled out several product innovations in 2025, including QRM Connect™, an AI-powered solution that matches members with providers and facilitates appointment scheduling. Healthmine also enhanced in-home assessment connectivity and refined rewards and incentives programs to improve alignment between risk and quality teams. These innovations, coupled with a strategic partnership with Exact Sciences for at-home colorectal cancer screenings, demonstrate Healthmine’s focus on delivering actionable and impactful engagement. As Healthmine enters 2026, the company remains dedicated to building what clients need to deliver better, more effective engagement programs.
Future Outlook
Healthmine’s journey is like a well-orchestrated symphony, where each innovation and partnership adds a harmonious note to the overall performance. The company’s 2025 results, marked by a 54% higher rate of care gap closure among engaged members, set a strong foundation for 2026. As Healthmine continues to focus on building more effective engagement programs, the company is poised to help health plans achieve stronger results and better manage medical spend.
Conclusion
Healthmine’s 2025 performance, characterized by significant improvements in care gap closure and sales growth, underscores the company’s commitment to delivering measurable ROI. By focusing on actionable engagement and continuous innovation, Healthmine is well-positioned to meet the evolving needs of health plans. Join the conversation in the comments below.
About Healthmine
Healthmine is the industry’s leading member engagement solution, simplifying how health plans make the most of every member moment. Our SaaS-based, always-on Quality Relationship Management™ (QRM®) platform eliminates data chasing so plans can capture whole views of each member. Our team of behavioral scientists and regulatory experts partner with each health plan to use this member-level detail to build personalized outreach that motivates members to take the right next step in their health journeys.
With customized triggers based on clinical, pharmacy, CAHPS and HOS measures, and when paired with intelligent incentives, plans can see accelerated results in health equity and member outcomes while better managing medical spend and reducing the burden on their teams. Real-time data dashboards with actionable insights allow plans to act fast and better prioritize areas of opportunity to meet revenue and quality goals.
About Health Catalyst Capital
Health Catalyst Capital (HCC) invests in privately held healthcare technology and services businesses that aim to enhance care quality, access, and affordability. We leverage relationships with over 250 major healthcare and technology enterprises to identify sustainable investment themes. We co-invest alongside strategic partners, some of which are limited partners in our funds. HCC drives value creation by helping portfolio company management teams integrate AI into their operations and build commercial relationships that accelerate growth, including hundreds of direct introductions by HCC to prospective customers and partners.
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