For health plans · Medicare Advantage and Medicaid

Close care gaps and engage members by secure text.

Marples finds each member's open care gaps and drafts a message. Your care management team reviews any message with clinical details. Members open it through a secure link, in their preferred language.

Illustrative example
9:41●●●
Your care team
You have a secure message from your care team: mrpls.us/k7Rq2
Secure page
Code ••••✓ Verified
Hi Maria, your cholesterol medicine is due for a refill. Reply YES and we will send the request to your pharmacy.
YES
Done. Your refill request is on its way to your pharmacy.
✓ Reviewed by your care team before sending
$13.4B+

Federal spending on Medicare Advantage quality bonuses in 2026.

Plans rated 4 stars or higher get a 5 percentage point benchmark increase in most counties. Closing HEDIS gaps lifts the measures behind those ratings.

Source: KFF, Medicare Advantage quality bonus program, 2026

See Marples at work

Everything your care management team needs, in one place.

Illustrative screens with sample data. Your team sees the gap, the reason and the message, and makes the call.

Illustrative Marples screen: a recommendation queue for a care management team. Members are ranked by open HEDIS gaps; messages with clinical details wait for review, and routine reminders send on schedule.
1. Recommendation queue. Marples ranks members by their open HEDIS gaps. Messages with clinical details wait for your review. Routine reminders send on schedule.
Illustrative Marples screen: one member with open HEDIS gaps, why Marples ranked her first, and a draft message. The plain text holds only a secure link; health details show on the secure page after a verification code.
2. Member view. Open gaps checked against NCQA HEDIS standards, why Marples ranked this member, and a draft message. The plain text holds only a secure link.
Illustrative Marples screen: a decision log listing each message, who decided, the decision and the status.
3. Decision log. Every recommendation, who decided and why. Ready for audits and provider questions.
How it works

Start from the data your plan already has.

Marples works from member, clinical, claims and pharmacy data. Your care management team can work in Marples' own screens or in the care management app it already uses.

Step 1

Share your data

Member, clinical, claims and pharmacy data. More data makes recommendations more accurate.

Step 2

Get a ranked list

Marples finds care gaps using NCQA HEDIS standards and ranks the members to reach first.

Step 3

Review and send

Your care management team reviews any message with clinical details and decides what to send through a secure link.

No disruption to your workflow

Your team keeps working the way it does today.

Run it in your own cloud

Marples can run inside your own AWS, Azure or Google Cloud account.

Or connect it to your care management app

We can integrate Marples with the care management app your team already uses, so there is no disruption to your existing workflow.

Member engagement and retention

Start with the reasons members give for leaving.

CMS asks members who leave a plan why they left. In the 2026 Star Ratings data, three reasons stand out.

Reason 1

Coverage of doctors and hospitals

The most common reason at plans that lose the most members.

Reason 2

Financial reasons

The top reason at plans that keep most of their members.

Reason 3

Information and help from the plan

Grows as plans lose more members. It is the one your team controls most directly.

Source: CMS 2026 Star Ratings, disenrollment reasons, calculated by Carelytics. See the full analysis

Marples does not change your premium or your network. It works on the parts of the member experience your team controls: getting answers, using benefits and getting care on time.

Secure text, any language

Members text in their preferred language. Voice-to-text is built in, so they can speak instead of type. No app.

Benefit questions answered

Members check their benefits by text, including supplemental benefits and how much they have used.

Prescription refills

Members request prescription refills by text alone, with no phone call.

What you gain

Six ways Marples pays off for your plan.

Act in time

Every member checked daily. Gaps close before the measurement year ends.

Reach more members

Refills and benefit checks by secure text, typed or spoken, in each member's preferred language. No app.

No disruption to your workflow

Work in Marples' own screens or inside the care management app your team already uses.

Free up your care managers

Ranked member lists and ready-to-review messages, not spreadsheets.

Protect quality revenue

Better HEDIS and Star results protect quality bonuses and state withholds.

Stay in control

Your care management team reviews every message with clinical details. Every decision is logged. SOC 2 certified.

Works across every payer: Medicare Advantage, Medicaid, ACA, self-insured and uninsured.

Questions and answers

What health plans ask about Marples.

What data does a health plan share with Marples?

Marples starts with member, clinical, claims and pharmacy data. More data makes recommendations more accurate. Your care management team can work in Marples' own screens: a ranked member list, ready-to-review messages and a decision log. Or we can integrate Marples with the care management app your team already uses, so there is no disruption to your workflow.

What is Medicare member engagement?

Medicare member engagement is how a health plan helps members use their benefits, get the care they need and get answers when they have questions. Good engagement reaches each member on a channel they use, in a language they read, at the right time.

How can a Medicare Advantage plan improve member retention?

Start with the reasons members give for leaving. CMS asks members who leave a plan why they left. Coverage of doctors and hospitals and financial reasons lead the list, and information and help from the plan matters more at plans that lose more members. A plan cannot text its way out of a narrow network or a high premium, but it can make help easy to get, help members use their benefits and get care on time. Marples by Carelytics LLC works on those parts.

How can I prioritize the members most likely to affect my Medicare Advantage Star Ratings?

Marples by Carelytics LLC finds open HEDIS gaps and ranks members by who to reach first. The Marples HEDIS engine covers the HEDIS measures that count toward the 2028 Star Ratings. It suggests the next best step for each member, so your care management team spends time where it moves the rating.

Can a health plan text members about clinical topics safely?

Yes, if no health details go in the plain text. Marples sends a text with a secure link only. The member opens the link and enters a verification code before any health details show. Your care management team reviews any personalized message with clinical details and decides what to send.

How fast can a health plan start with Marples?

A Marples pilot takes six weeks. We start with member, clinical, claims and pharmacy data. Your plan gets a ranked list of members to focus on first, and secure engagement begins at the end of the pilot.

See Marples on your own members.

A six-week pilot. Your data, your measures.