According to a report from the Urban Institute, primary care offices across the country have seen up to 60-75% decline in volume.

For decades health plans have approached primary care engagement the same way: mass mailings, generic reminder calls, and crossing fingers that members show up.

Wellness visit rates stagnate. Quality measures plateau. And the members who need care most—those facing language barriers, transportation challenges, or digital illiteracy—remain unreached.

The era of one-size-fits-all outreach is over. The future of population health is radically personalized, and the outcomes prove it.

Personalization Isn't a Nice-to-Have—It's the Only Way Forward

Real personalization means meeting members where they are—literally and figuratively. And it means addressing not just what members need to do, but why they haven't and how to remove those barriers.

This is where Agentic AI transforms primary care engagement. Instead of batch-and-blast campaigns Blooming Health’s Care Enablement Workflows use intelligent automation to:

• Communicate across 80+ languages and dialects through members' preferred channels—SMS, email, or voice calls

• Identify and solve barriers to care in real-time, whether that's coordinating transportation, connecting members with trusted community organizations, or providing digital literacy support for portal activation

• Personalize every touchpoint based on member history, preferences, and real-world circumstances

The result? Members don't just receive reminders, they receive pathways to care that actually work.

What Outcomes Look Like When Personalization Scales

Health plans using Blooming Health's Care Enablement Workflows are seeing measurable lifts across the metrics that matter most:

Preventive Care Compliance

• Increased completion rates for Annual Wellness Visits, flu shots, colorectal cancer screenings, and mammograms

• Higher percentages of members up-to-date on preventive screenings, directly improving HEDIS composite scores

Quality and Revenue Impact

• Improved Star ratings through better performance on Medicare COA (Consumer Assessment of Healthcare Providers and Systems) measures

• Enhanced RAF capture as more members complete comprehensive health risk assessments during AWVs

• Meaningful revenue gains—even modest increases in AWV completion translate to thousands of dollars per member in risk adjustment and quality bonuses

Cost of Care Reduction

• Fewer avoidable emergency department visits as members receive timely preventive care

• Lower total cost of care through early intervention and better chronic condition management

• Reduced administrative burden as automated workflows handle high-volume, low-complexity outreach

Member Experience

• Higher portal activation and insurance card utilization rates

• Better PCP alignment and selection, ensuring continuity of care

• Improved health literacy and benefits understanding through tailored education campaigns

This approach is particularly powerful for the members traditional outreach misses entirely: those with limited English proficiency, low digital literacy, or complex social needs. These are often the same members driving disproportionate costs and representing the greatest opportunity for RAF capture and quality improvement.

Population Health Requires Personalization at Scale

The future of primary care outreach isn't louder generic messaging. It's smarter, more human-centered engagement powered by AI that actually understands what each member needs.

Ready to transform your primary care engagement strategy? Get a demo and learn how Blooming Health's Care Enablement Workflows are helping health plans achieve measurable outcomes in quality, cost, and member experience.