TenderHeart Member Engagement Programs Improve Key Measures of Health Plan Success

AUSTIN, Texas, Sept. 18, 2025 /PRNewswire/ -- TenderHeart Health Outcomes' member engagement programs improved HEDIS scores by an average of 10.7% for partner Medicaid health plans, according to data released this week by the National Committee for Quality Assurance (NCQA). These TenderHeart Health Rewards programs incentivize members to seek preventive or follow-up care to improve their health.

All Health Rewards programs measured by the Healthcare Effectiveness Data and Information Set (HEDIS) showed improvements for members. Notably, well-child visits in the first 30 months of life improved by 17.9% from the start of the program. To encourage well-child visits during the first 30 months after birth, members receive baby essentials for each appointment attended.

"At a time when Medicaid plans are under intense pressure to demonstrate value, TenderHeart's programs are showing measurable impact for our partners," said TenderHeart CEO Tommy Lewis. "Most importantly, these HEDIS results reflect a better quality of life for children and new moms. That's what drives TenderHeart's work with our partners, and it's also why incentive payments to health plans are tied to HEDIS scores."

The average improvements of TenderHeart's Medicaid managed care health plan partners by HEDIS measure are listed below:

• Timeliness of Prenatal Care (PPC): 7.2%
• Postpartum Care (PPC): 13.2%
• Well-child Visits in First 30 Months of Life (W-30): 17.9%
• Follow-up Care for Children Prescribed ADHD Medication - Initiation Phase (ADD): 2.5%*
• Follow-up Care for Children Prescribed ADHD Medication - Continuation and Maintenance Phase (ADD): 12.5%*
• Average partner improvement across HEDIS measures: 10.7%

*Note: A new ADD HEDIS measure was created in the NCQA 2024 data, making comparisons to previous years not possible. Therefore, NCQA data from 2021-2023 was used to measure change.

For more information about TenderHeart's Health Rewards programs, contact Director of Business Development Jordan Kirchhoff at [email protected].

About TenderHeart Health Outcomes

At TenderHeart Health Outcomes, our name reflects our mission: improving health outcomes that matter most. We specialize in designing customized programs that improve health and are tailored to the unique needs of health plans' populations.

Our offerings include:

• Incontinence Management: A value-based program that improves outcomes and reduces costs
• Pregnancy Rewards: Breast pumps, car seats, strollers, and Pack 'n Plays to support maternal and infant health.
• Sensory Support Programs: Therapeutic, interactive activity kits designed for members with sensory needs.
• Health Rewards: Blood pressure monitors, fall prevention kits, and other tools that empower members to take control of their health.
• And many more.

CONTACT: Annie Melia, [email protected], 740-590-3770

View original content to download multimedia:https://www.prnewswire.com/news-releases/tenderheart-member-engagement-programs-improve-key-measures-of-health-plan-success-302560774.html

SOURCE TenderHeart Health Outcomes