Members Don't Understand Their Coverage
Most members can't answer basic questions about their plan. Without clarity, they avoid care or misuse it — costing plan and member more.
Award-Winning AI Development & Consulting
Why Most Member Engagement Programmes Fall Flat
Member outreach tools weren't built for real people.
The App Nobody Opens
Downloaded once, never returned. Apps built around documents and ID cards give members no reason to come back.
Generic Outreach Gets Ignored
Same newsletter to every member, whatever their condition or language. Generic outreach feels like marketing; personalised outreach feels like care.
At-Risk Members Are Hardest to Reach
Those who need support most are least likely to respond to a letter or unknown number. Standard outreach misses them entirely.
Trust Is Low and Getting Lower
Confusing bills and unexpected denials drive members to disengage. Rebuilding trust takes interactions centred on health, not admin.
What the Platform Delivers
Six capabilities on one AI-driven platform.
Member Experience
Personalised Member App, AI Care Navigator, Benefits Navigation & Cost Tools, Digital ID Cards & Claims Status.
Outreach & Engagement
Intelligent Care Gap Outreach, Multi-Channel Orchestration, Preferred Language Delivery, AI-Assisted Outbound Calls.
Care Management
Care Plan Management, Adherence Monitoring & Alerts, Post-Discharge Follow-Up, Chronic Disease Support.
Operations Intelligence
Member Activation Dashboard, Care Gap Closure Tracking, Outreach Performance Analytics, Quality Measure Performance.
What the Platform Delivers
Six AI capabilities, one member platform.
Everything Your Operations Team Can Track
One live view of member performance.
Member Activation & Engagement Dashboard
Usage and engagement trends by segment.
Care Plan Adherence Tracker
Live adherence by care plan step.
Quality Measure Performance
Live HEDIS and Stars gap tracking.
What Plans Are Seeing After Going Live
Each result traces to a specific engagement gap we closed.
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Increase in active app engagement within 90 days. Members who never returned now check care gaps, book appointments, and query benefits monthly. — Regional Health Insurer, Bengaluru
68%
Care gaps closed in the quarter — up from 29%. AI-personalised outreach through the right channel moved members from awareness to action. — Managed Care Organisation, Hyderabad
44%
Reduction in avoidable ED visits among high-risk members on active care plans. When members know where to go, they stop going to the nearest ED. — TPA, Delhi
$380
Savings per member per year through care navigation and gap closure — within the $240–$480 benchmark. The platform paid for itself in the first plan year.
4.6×
Outreach response rate improvement after switching from generic blasts to AI-personalised messaging. Same population, same care gaps — entirely different outcome.
91%
Member satisfaction among active platform users — vs 54% among non-users in the same plan. Members who feel guided renew at materially higher rates.
Who This Platform Is Built For
Built for the full managed care ecosystem.
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Health Insurance Companies Health Insurance Companies
AI personalisation at population scale.
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Managed Care Organisations Managed Care Organisations
Quality results you can prove at renewal.
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Third Party Administrators Third Party Administrators
A branded member app that wins contracts.
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Government Health Schemes Government Health Schemes
Care navigation in the member's own language — Spanish, Mandarin, Hindi and more.
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Corporate and Employer Health Plans Corporate and Employer Health Plans
Preventive care tools with HR-level data.
Integrates With Every System Your Members' Data Lives In
Health data, privacy and quality reporting — US, India and global markets.
Data Privacy
Healthcare Data Privacy
Privacy and security frameworks across every data store and access control.
Health System Integration
Clinical & Claims Data Integration
Integrates with core admin systems, claims, clinical data, and ABHA.
Multilingual Outreach
Multilingual Member Communication
App, care navigator, and outreach delivered in the member's language.
Quality Measures
Quality Reporting Standards
Real-time quality tracking aligned to plan reporting frameworks.
App & Accessibility
Mobile App Standards
Consumer-grade mobile experience built to accessibility standards.
Outreach Channels
Multi-Channel Delivery
Every outreach channel, orchestrated by AI through auditable pipelines.
Member Engagement That Moves HEDIS and Star Ratings
For a Medicare Advantage or Medicaid plan, member engagement is not a satisfaction programme — it is how you move Star Ratings and HEDIS measures, and Star Ratings decide your quality bonus payment. The measures that respond to outreach are well known, and the plans that move them are the ones reaching the right member on the right channel before the measurement year closes.
Care Gap Closure Against HEDIS Measures
Outreach targeted at the members with an open gap on the measures that actually move your rating — breast and colorectal cancer screening, HbA1c control, eye exams for diabetes, blood pressure control and follow-up after hospitalisation.
Medication Adherence — The Triple-Weighted Measures
Adherence for diabetes, hypertension and cholesterol medications is triple-weighted in Star Ratings, which makes it the highest-leverage outreach a plan can run. Refill-gap detection and pharmacy-channel nudges before a member falls below the PDC threshold.
CAHPS and Member Experience
Member experience measures now carry heavy weight in the Star Ratings formula. Getting a member an answer the first time they ask, in their own language, is a CAHPS intervention as much as a service one.
Health Outcomes Survey and Risk Adjustment
Annual wellness visit prompts and HOS follow-up, coordinated so the visit happens inside the measurement window rather than after it.
Measurement-Year Timing
A gap closed in December counts the same as one closed in February, but the member is far harder to reach. Outreach is sequenced against the measurement calendar so the expensive, low-yield year-end push shrinks.
Reporting Your Quality Team Can Use
Gap closure by measure, by population and by channel, exportable to the reporting your quality team already submits — so engagement effort is attributable to rating movement rather than to open rates.
What to Ask a Member Engagement Vendor
Most member engagement platforms demo well and differ sharply once they meet a real claims feed. These are the capabilities that decide whether a deployment moves your measures or just sends more messages — and how a point solution, a suite module and a purpose-built platform typically compare.
| Capability | Point solution | Suite module | Bonami platform |
|---|---|---|---|
| Claims and enrolment integration | CSV upload, batch refresh | Native to that suite only | FHIR R4, X12 834 / 837, existing care-management system |
| Care gap identification | Static list you supply | Vendor-defined measure set | Your measure set, refreshed against live claims |
| Channel coverage | One channel, usually email | App plus email | App, SMS, IVR, WhatsApp, mail — chosen per member |
| Language support | English, sometimes Spanish | Template translation | Per-member attribute, several concurrent languages |
| HEDIS / Star Ratings reporting | Open and click rates | Engagement dashboards | Gap closure by measure, population and channel |
| AI care navigation | Rules-based chatbot | Scripted flows | Clinical-grade navigation with escalation to a coordinator |
| Escalation to a human | Ticket queue | Warm transfer | Context-preserving handoff to your care team |
| Deployment model | SaaS, take it as it comes | Tied to the suite contract | Your brand, your data, your infrastructure |
| Time to first measurable outcome | 3-6 months | Depends on suite roadmap | 8-12 weeks to live, gap closure from the first cycle |
Where a point solution or suite module is the right answer, we will say so in discovery. The comparison above reflects what we see in competitive evaluations, not a claim that every vendor in a category behaves this way.
Coverage Is Not Care. Engagement Is the Bridge Between Them.
Your members are paying for a plan that could genuinely improve their health — if they knew how to use it. Plans that invest in real engagement see it in their quality metrics, retention numbers, and population health outcomes.
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Frequently Asked Questions
[ 1 ]
How personalised does the outreach actually get? Is this just mail merge?
No. It personalises by health conditions, care gaps, channel, and language.
[ 2 ]
Can the AI Care Navigator handle sensitive health topics appropriately?
Yes. Handled with clinical accuracy, escalated to a care coordinator.
[ 3 ]
What languages does member outreach support?
Outreach runs in the language the member actually reads. For US plans that is most often English and Spanish, with Mandarin, Vietnamese, Tagalog, Korean and Arabic where the population requires it — which matters directly for CMS language-access expectations and for reaching the members who drive your Star Ratings. For Indian payers we also support Hindi, Tamil, Telugu, Kannada, Marathi, Bengali and Gujarati. Language is a per-member attribute, not a per-deployment setting, so a single plan can run several concurrently.
[ 4 ]
How does the platform integrate with our existing member data and claims systems?
Through standard payer APIs. In the US that means HL7 FHIR R4 (including the CMS Interoperability and Patient Access profiles), X12 EDI 834 enrolment and 837 claims feeds, and your existing care-management system. For Indian payers we also connect to ABHA and NHCX. We build against what you already run rather than asking you to replace it.
[ 5 ]
How do we measure whether member engagement is actually improving health outcomes?
The dashboard tracks care gap closure and adherence against readmissions.
[ 6 ]
What does implementation look like and how long does it take?
Most plans go live in 8-12 weeks, with integration handled by us.
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