Test the decision, then the model.
Start by identifying where outreach can change a member’s next step. Compare the tool against a simple rules-based list using the same outreach capacity, with staff reviewing flags before contact.
Track successful coverage renewals, missed cases, staff time, and errors across relevant groups. A useful alert must arrive early enough to act on and lead to assistance the member can actually use.
Expand only if the pilot improves renewal outcomes beyond the simpler approach without adding unacceptable burden or disparities. Ninety days may establish feasibility; longer follow-up may be needed to establish impact.