Population health, with the follow-through built in
For HMOs and health plans, Newbula pairs a serious risk & quality analytics suite with the outreach machinery to act on it — the same platform scores the gap and makes the phone call.
What health plans are up against
Risk revenue at stake
Unsupported HCCs and missed recaptures quietly erode risk-adjusted revenue every payment year.
Quality deadlines
HEDIS rates, TRC timeliness, and Part D adherence all have clocks attached — and member-level gap lists rarely reach the people who can close them.
Outreach that scales
Member engagement means thousands of phone calls: reminders, check-ins, PCP outreach. Staff can’t make them all.
Modules built for health plans
Each module below ships ready for this vertical — and they all share the same patient record.
From payer file to closed gap
- 1
Import plan data
Eligibility, claims, pharmacy, and financial files load with saved per-payer mappings.
- 2
Score and prioritize
RAF positions, HEDIS rates, and Star measures update — worklists rank members by impact.
- 3
Reach the members
AI voice campaigns call the members behind each gap: adherence nudges, visit scheduling, PCP outreach.
- 4
Measure the movement
Rates, RAF, and MLR reflect the work — with traceability from every number back to its evidence.
Bring analytics and outreach onto one platform
See how Newbula unifies patient management, outreach, and risk analytics for your organization. Get started in less than a week.
Free onboarding and training included.