Last week, we met Sally. In our discussion about Sally, we determined that the motivations behind most Medicare Advantage member engagement strategies-namely, reduced cost via lower utilization-have little appeal to the average member. Unless the member is recently discharged from the hospital due to a recent health scare, they may not be as motivated by a program that is designed to keep them out of the hospital. In fact, they might greet such programs with skepticism because, to the member, the benefit seems more skewed toward money saved by the plan, rather than an interest in the member's health. These conflicting views could lead the member to think that the health plan can't be trusted, and no Medicare Advantage plan wants to end up in the "untrustworthy" column.