Member Experience Solutions: Build vs. Buy

6 reasons why a partnership can help address the health equity index, level up member experience, and help you become a 5-star plan

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The Build vs. Partner Debate

With the MA market getting more and more crowded and competitive than ever, health plans need every advantage they can get. And an upcoming change in MA Star Ratings hinges on a critical factor (and opportunity) for plans—health equity.

We’re talking about the new health equity index (HEI) reward, slated to take place as part of the 2027 Star Ratings, and this is big.

If health insurers account for social risk factors in their member engagement programs, they could expect more favorable ratings from the recalculation—and get a competitive edge over other health plans hungry for the same market share.

While the clock is ticking on this change, plans must prepare and decide whether they take a build vs. buy approach while investing in member platforms.

In this light paper, you’ll get:

  • An analysis of the pros/cons for building vs buying, with 6 reasons why a partnership may be the ideal approach
  • How a purpose-built member platform helps address SDOH like income disparities, loneliness, and isolation
  • The value of the right technology, timing, and approach to member engagement

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