{"version":"0.38.0","built_at":"2026-10-24T19:53:00.313Z","license":"CC BY 4.0 © Mike Reams","canonical":"https://catalog.mikereams.com","value_stream":{"id":"VS-520","name":"Enroll-to-Care","industries":["healthcare"],"description":"Enroll a member in the right plan, understand their health risks and needs, reach out and engage them, and connect them with care management, in-network clinicians and community resources so their care is coordinated. Delivering the care itself is the provider's.","outcome":"Members are enrolled correctly, those at risk are identified early, and each gets coordinated care and support suited to their needs.","trigger":"A person enrolls in a health plan, or a member's risk changes.","aliases":["Member Lifecycle","Enrollment-to-Engagement","Member Journey","Onboard-to-Care"],"stages":[{"id":"VS-520.10","order":1,"name":"Enroll","description":"Enroll the member, confirm eligibility, issue coverage under the right plan and send the ID card and welcome.","capability_ids":["BC-1870.10"],"events":[]},{"id":"VS-520.30","order":2,"name":"Engage","description":"Reach the member with reminders and outreach through the channels they use, and invite them to complete a health risk assessment.","capability_ids":["BC-1860.40"],"events":[]},{"id":"VS-520.20","order":3,"name":"Assess Risk & Needs","description":"Stratify the member's health risk from claims, clinical data and a health risk assessment, and screen for social needs.","capability_ids":["BC-1860.10","BC-1860.50"],"events":[]},{"id":"VS-520.40","order":4,"name":"Connect to Care","description":"Match the member to in-network primary care and specialists and close gaps in care.","capability_ids":["BC-1870.30","BC-1860.10","BC-1860.40"],"events":[]},{"id":"VS-520.50","order":5,"name":"Manage Care","description":"Enroll higher-risk members in care management and coordinate with their clinicians and community services.","capability_ids":["BC-1860.20","BC-1860.50","BC-1880.30"],"events":[]},{"id":"VS-520.60","order":6,"name":"Measure Outcomes","description":"Measure quality, cost and experience for the population and under value-based contracts.","capability_ids":["BC-1850.10","BC-1860.30"],"events":[]}]}}