1. Consumer Engagement 1
We Can Help
VistaBPO delivers consumer engagement, acquisition,
and risk adjustment solutions for
healthcare industry payers and providers.

2. Consumer Engagement 1VistaBPO 1
We created VistaBPO because we believe that success in the
healthcare industry is at its highest when technology is
combined with a human touch. Consumers are looking for the
same high-level service from the healthcare industry as they do
from service-centric retail companies. Companies can’t expect
to achieve that level of service with technology-only solutions.
Furthermore, engaged members are more likely to be loyal to
and satisfied with their plans and providers. They also become
more proactive in utilizing their healthcare benefits, which leads
to enhanced risk scores.
VistaBPO combines human resources and technology to
deliver powerful, cost-effective consumer engagement
programs that help you maximize member acquisition,
retention, risk adjustment, and population health.
• Increase brand loyalty
with a VistaBPO
personalized
engagement program.
• Ensure that your
members understand
their benefits and how
to utilize them.
Why VistaBPO
V
istaBPO delivers consumer engagement, acquisition,
and risk adjustment solutions for healthcare industry
payers and providers. Established to assist payers and
providers, VistaBPO maximizes member acquisition and
retention, risk adjustment, and population health through
personalized consumer engagement and comprehensive
contact-center solutions utilizing secure, innovative technology.
Our scalable member and consumer engagement programs
deliver an uncompromising member experience in a secure
HIPAA-compliant environment.
Our leadership team has a deep understanding of carrier, payer,
and healthcare industry needs. Comprised of former senior
carrier executives, senior operations personnel, delivery systems
experts, and contact-center professionals, VistaBPO understands
what it takes to solve critical industry problems while providing
cost-effective and comprehensive solutions.
Who We Are

3. Consumer Engagement 1
Payers
VistaBPO offers payer solutions for labor intensive tasks while
also helping organizations provide an elevated level of service.
Providers
VistaBPO offers provider solutions that help elevate the quality and
cost effectiveness of the care you provide. Our services focus on
the quality of health-care delivery, productivity, and the consumer
experience to help you maximize your value-based contracts.
• We provide personalized
services that help enhance
your relationship with
your patients.
• We manage secondary
tasks that allow you to focus
on essential services.
• We collect quality data and
perform detailed analytics
to help your organization
operate more productively.
• We deliver high-quality
support with consistency
and efficiency, enabling
providers to focus on their
core mission.
Markets We Serve
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• We handle secondary
business functions so you
can focus on your core
business processes.
• We offer technology
solutions to assist in new
member enrollment
and help maintain current
member levels.
• We collect and analyze
metrics to enhance
organizational performance.
• We help payers thrive by
adding a personalized level of
interaction to your outreach.

4. Programs We Offer
Methods We Use
Member Acquisition
Strategies
Payers face unique challenges
in acquiring new members.
VistaBPO provides solutions
that reduce the cost of
per-member acquisition, help
educate and engage member-
ship, and identify member
acquisition opportunities.
MemberCore, our proprietary
member engagement
technology solution, combines
an intelligent web-based chat
module, automated IVR, smart
email, and text updates, all
built around a universal, highly
flexible CRM, to deliver a
powerful, second-to-none
member-acquisition program.
VistaBPO uses a
proprietary technology,
MemberCore, that easily
integrates with the most
commonly used CRMs.
All of the information we
gather is highly secure to
safeguard confidentiality,
integrity, and availability.
Member Engagement
Retention
To maximize retention, member
engagement must be
personalized, consistent, and
focused on consumer
benefits. VistaBPO offers tools
and strategies that help
connect with populations that
are often hard to reach. We
engage with your member-
ship using various strategies,
from welcome calls and emails
to personalized renewal calls.
We offer concierge member
services, provide benefit
explanations, and offer com-
plete renewal support, adding
a personal touch to traditionally
impersonal work streams.
MemberCore, our seamless, integrated smart-technology
platform, includes:
• Automatic Call Distributor (ACD)
• Workforce Management System
• Interactive Voice Response (IVR)
• Telephony Infrastructure including Computer Telephony
Integration (CTI)
• Co-Browsing
• Detailed, Scalable Metrics
• Automated Call Web Chat Recording
• Survey Solutions
• Text Messaging Support
Risk Adjustment
Optimization
Without a systematic engagement
structure in place, payers are at
risk of underreporting population
Risk Scores. VistaBPO has
developed a comprehensive,
personalized, and affordable
approach to Risk Adjustment
optimization. Our program includes
Health Risk Assessment outreach
and collection, annual physical
reminders, annual physical appoint-
ment setting, and provider outreach
for chart reviews. VistaBPO solu-
tions focus on data collection to
ensure that you have the detailed
information needed to drive
accurate population risk scores
and optimize risk adjustment.
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5. VistaBPO Can Help
VistaBPO can help. We help our clients maximize member
satisfaction and retention, risk adjustment, and population
health by delivering personalized consumer engagement and
comprehensive contact center solutions utilizing secure,
innovative technology.
VistaBPO provides:
•Member Engagement and Retention Solutions
• Member Acquisition Solutions
• Risk Adjustment Optimization Solutions
• Optimized Healthcare Contact Center Solutions
For a complete list of
VistaBPO work streams or
to learn how VistaBPO can
assist your organization:
Visit us:
Vistabpo.com
Email us:
Info@VistaBPO.com
Call us:
845-372-6321
In today’s consumer-centric health insurance market, service must be
reimagined and recreated; it must be more personalized,
more customer-centric, more customizable, and more proactive.
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