Behavioral intelligence for care management teams
Your outreach data already contains the answer. Mnomis reads the behavioral signals in your systems - response patterns, appointment history, care gap navigation - and classifies each member's motivational posture. The result is guidance your care managers can act on in 90 seconds. The classification schema and signal weighting are proprietary to Mnomis.
The premise
Risk stratification is necessary - but it answers a different question than engagement strategy. Knowing that a member is high-risk tells you they matter. It does not tell you whether they will respond to a phone call, what kind of message will feel relevant to them, or whether your current outreach approach is reinforcing avoidance rather than creating access.
Motivational posture is the missing layer. It describes how a member is oriented toward their own care - their readiness to act, their preferred mode of interaction, and the conditions under which they engage or withdraw. That orientation is consistent over time and it is readable from behavioral signals that are already in your systems.
The Motivational Intelligence Framework™ was built to make that layer accessible to care management teams - without new surveys, without clinical inference, and without the complexity that makes behavioral tools impractical at the point of care.
The Motivational Intelligence Framework™ operates as a system of interpretive intelligence. It does not predict behavior. It interprets engagement signals to reveal the motivational context in which outreach is received - strengthening care manager judgment rather than replacing it.
Both are necessary. Risk stratification without engagement intelligence produces outreach that is clinically prioritized but behaviorally misaligned. The Motivational Intelligence Framework™ does not replace risk stratification - it answers the question risk cannot.
Behavioral signals
Posture classification does not require new data collection, surveys, or clinical inference. It is derived from behavioral signals that exist in every care management organization's systems - the record of how members have actually responded to outreach over time.
Whether and how a member has responded to contact attempts across channels - not just overall rate, but pattern and consistency.
The pattern of kept, cancelled, and missed appointments - including whether cancellations are advance-notice or same-day, and whether rescheduling follows.
How a member has responded to care gap closure outreach - whether gaps are addressed promptly, conditionally, or consistently left open despite contact.
The four postures
The Motivational Intelligence Framework™ classifies members into one of four motivational postures. These are not personality types and they are not permanent - they describe a member's current orientation toward their own care, as expressed through their behavioral history. Postures can shift, and the classification is updated on a 90-day cycle.
Manages care proactively. Outreach is most effective when it respects autonomy and provides information rather than instruction.
Engages through relationship. Care manager presence and consistency drive follow-through.
Acts when the benefit is concrete and the ask is specific. Barriers - not indifference - determine whether action occurs.
Has withdrawn from care contact across channels. Requires a fundamentally different approach - increased volume will not produce different results.
How classification works
A single non-response does not make a member Disengaged. A single appointment kept does not make a member Self-Directed. Posture is a pattern - and it is only reliably visible across time. Classification reads behavioral history longitudinally, not as a snapshot, and is refreshed on a regular cycle so guidance reflects current orientation, not a classification that was accurate a year ago.
Every classification carries a confidence score reflecting signal clarity and pattern consistency. A low confidence score is itself meaningful - it flags members whose behavior is mixed or transitional, which calls for a different read of the brief.
Why the guidance is specific
Posture classification tells you where a member is. The guidance tells you what to do about it.
The channel, tone, timing, and message construction guidance embedded in The Motivational Intelligence Framework™ is not derived from academic literature. The guidance is grounded in our deep experience developing messaging and experiences that move people across contexts and over time. That practitioner depth is what makes the guidance opinionated enough to be useful, and specific enough to act on in the moment.
The result is a system that combines structured classification with practitioner-grounded guidance — each informing the other, neither sufficient alone.
Theoretical grounding
The four-posture classification system is not proprietary intuition. Each posture is grounded in published theory about motivation, self-determination, and health behavior - translated into a classification schema that is practical at the point of care.
The goal was a framework that a care manager could act on in 90 seconds and a compliance officer could audit against peer-reviewed literature. Both requirements shaped how the postures were defined and how the guidance was derived from them.
The Motivational Intelligence Framework™ does not claim to replace clinical judgment. It claims to give care managers one additional layer of interpretable insight - the behavioral orientation of the member in front of them - so that judgment can be applied more precisely.
See it applied
The pilot applies the Motivational Intelligence Framework™ to a cohort from your care management population and returns a full brief for every member - at no cost, with no integration required.