BetterHealthChangeEngine
MID-YEAR BUSINESS REVIEW · JAN – JUN 2026

Supporting employees through change, strengthening engagement.

A look at how BetterHealth and ChangeEngine partnered to maintain communication continuity, support a major HR transition, and prepare for a strong second half.

BetterHealth › ChangeEngine - Mid-Year Business ReviewBegin
01What we've achieved

Communication continuity during a year of change.

From January through June 2026, BetterHealth navigated a significant HR restructuring while preparing for Open Enrollment, launching wellness initiatives, and supporting onboarding.

Quarter over quarter
+4 pts
Open Rate vs. last quarter

Strong engagement maintained through organizational transition.

3,800+
Communications Delivered
170
Employees Reached
19%
CTR
20
Active Programs
200+
Hours Saved in Automation
02Communications performance

Engagement held strong through transition.

Manager Engagement
≈ 2×

Managers engage nearly twice as much as employees

New Hires
Most engaged

New employees lead participation rates

Top Departments
Admin · Epic Ops

Drive the strongest engagement

Best Window
Afternoon

Highest engagement of the day

03Engagement by department

Where employees are leaning in.

Engagement rate by department
Administrative54.8%
Epic Operations44.2%
Epic Implementation42.6%
Revenue Cycle26.8%
Key insight

Operational and administrative teams continue to generate the strongest engagement, demonstrating the value of timely, action-oriented communications.

Recommendation

Leverage Auto Follow-Ups and shorter, more visual communications to increase engagement among lower-performing audiences.

04Engagement by audience

Managers lead the way.

Engagement score
Managers11.3
Employees5.6
Key insight

Managers are BetterHealth's most engaged audience, making them a powerful channel for cascading communications and reinforcing organizational priorities.

Manager opportunity areas

Open Enrollment Manager Toolkit

Monthly Manager Newsletter

Leadership Talking Points

Manager Coaching Campaigns

05Right message, right time

When BetterHealth's audience is most engaged.

Best days to publish
Mon
Tue
Wed
Thu
Fri
MONDAY

Strongest operational engagement

FRIDAY

Strongest culture & recognition

Best times to publish
1:00 PM – 3:30 PM44.3%
3:30 PM – 6:00 PM47%
Executive recommendation

Schedule high-priority communications, surveys, and Open Enrollment messaging during afternoon windows to maximize engagement.

06Key program win · 01

Internal newsletter.

A consistent monthly cadence driving the strongest open rates across BetterHealth's communications.

929

Work Emails Delivered

50%

Open Rate

17%

Clickthrough Rate

Top performing newsletters
May 2026 Internal Newsletter55%
157 sent87 opened18 clicked
Internal Newsletter — Special Edition51%
311 sent158 opened21 clicked
June 2026 Internal Newsletter51%
158 sent80 opened8 clicked
Feb 2026 Internal Newsletter48%
151 sent72 opened12 clicked
Jan 2026 Internal Newsletter43%
152 sent66 opened20 clicked
Most engaged departments
Administrative72%
Epic Implementation59%
Epic Operations58%
Revenue Cycle36%
Key message

The monthly newsletter consistently outperforms benchmarks, with a 50% open rate signalling employees rely on it as a trusted channel for company updates.

Impact

A reliable monthly touchpoint that keeps employees informed, reinforces culture, and outperforms typical corporate newsletter engagement.

07Strategic Initiative · 01

Open Enrollment readiness.

Open Enrollment represents one of BetterHealth's most important upcoming employee communication initiatives. This quarter focused on preparation, planning, and ensuring all communications are ready ahead of launch.

Open Enrollment communications drafted and prepared

Communication strategy completed ahead of schedule

Employee education content planned and organized

Auto Follow-Up capability available to support engagement

Foundation established for a successful enrollment experience

Key message

"By preparing communications in advance, BetterHealth is positioned to deliver a seamless Open Enrollment experience while reducing administrative burden on the HR team."

08Strategic Initiative · 02

Employee wellness & culture.

As BetterHealth continues supporting a distributed workforce, employee wellbeing remains an important focus area. This quarter, ChangeEngine partnered with BetterHealth to develop wellness communication strategies and prepare future employee engagement initiatives.

Campaign developed

Stress Awareness Month

A wellness campaign developed to support BetterHealth's distributed workforce, ready to deploy as part of upcoming employee engagement initiatives.

Remote employee-focused wellness resources created

Burnout prevention content prepared

Manager support resources planned

Future wellness communication opportunities identified

Key message

"Investing in employee wellbeing supports engagement, connection, and long-term organizational health."

09Key program win · 04

Supporting BetterHealth through transition.

1

HR restructuring support

2

Communication continuity maintained

3

Ongoing campaigns preserved

4

Open Enrollment preparation completed

5

Strategic communication guidance provided

Impact

Employees continued receiving timely communications despite significant organizational changes.

10Priorities & roadmap

Where we focus next.

01

Launch Open Enrollment Communications

Deploy the prepared communications and deliver a smooth enrollment season.

02

Pilot Auto Follow-Up during Open Enrollment

Activate automated follow-ups to boost completion and reduce HR workload.

03

Expand Employee Wellness Communications

Scale wellness programming and roll out planned campaigns.

04

Evaluate Employee Feedback through Listen

Build a structured cadence of pulses and feedback loops via Listen.

05

New HR Team Enablement

Equip the new HR org with templates, workflows, and playbooks.

06

Manager Engagement & Coaching

Scale the channel that already drives the most engagement.

11Feature spotlight

Auto Follow-Up.

Automatically re-engage employees who haven't seen a critical communication — without adding manual work for HR.

How it works
  • Identifies non-engaged employees automatically
  • Sends targeted follow-up reminders
  • Improves communication visibility
  • Reduces manual HR effort
Recommended use cases
Open EnrollmentBenefits DeadlinesSurveysCompliance Reminders
Expected impact

Higher participation rates and increased communication reach.

Preview
Select a follow-up reason
Survey incomplete
BetterHealth
Survey closes June 20

Hi Kai,

Our records show you haven't completed the survey yet — here's a quick reminder.

Your input helps us improve communications. Complete the survey here.

12Feature spotlight

Cross-channel sequencing.

Reach employees where they already are — pairing Email for context with Teams for reinforcement to maximize engagement without overwhelming inboxes.

Why it works
  • Email delivers detailed context, a trusted sender, and clear next steps.
  • Teams reinforces the message where employees already collaborate, lifting visibility and response.
  • Sequenced timing keeps the message top of mind without flooding inboxes.
  • Consistent cross-channel messaging maximizes engagement across every touchpoint.
Recommended use cases
New Hire OnboardingOpen EnrollmentPulse SurveysPolicy UpdatesWellness Campaigns
Expected impact

Higher completion rates and consistent message delivery — without adding inbox noise.

Sequence preview
Onboarding · Day 1
Step 1 · EmailAwareness & details
Human Resources · Your Feedback Matters, Kai!
BetterHealth
Your voice shapes Day 1, Kai
Share your feedback to help us improve.

Hi Kai,

Please take a few minutes to complete this short survey:

Complete Survey Now →

2 days later
Step 2 · TeamsReminder & engagement
BH
BetterHealth HR·now
Don't forget to complete the survey 👋

Quick 5-minute survey — your feedback shapes how we onboard new hires.

Complete the survey here →

13Area of opportunity

Listen module.

Move from reactive pulse-checks to a continuous employee listening program.

Survey report preview
Q2 Pulse
55%
Can be their authentic self at work
78%
Have a clear way of tracking growth
47%
Feel supported in pursuing their goals
62%
Feel supported in their growth at work
I have a clear way of tracking my growth.
38%
31%
20%
9%
I feel supported in pursuing my goals.
47%
35%
13%
5%
Potential use cases
  • Open Enrollment Feedback
  • New Hire Experience Surveys
  • Culture & Belonging Pulse
  • Manager Effectiveness Check-Ins
  • Wellness Campaign Feedback
Benefits

Real-time employee insights

Automated survey distribution

Centralized reporting

Actionable leadership dashboards

14Area of opportunity

Pages.

Always-on destinations that consolidate evergreen content and reduce repeat HR inquiries.

Open Enrollment Hub

New Hire Resource Center

HR Resource Library

Culture & Engagement Hub

BenefitsSingle source of truthMobile-friendly experienceReal-time content updatesReduced HR inquiriesIntegrated ChangeEngine experience
Closing

Despite significant organizational transition, BetterHealth maintained communication continuity, prepared for a successful Open Enrollment season, and established a strong foundation.

The next phase focuses on launching strategic employee initiatives, expanding employee listening, empowering managers, and scaling engagement through automation.

BetterHealth×ChangeEngine
BetterHealth › ChangeEngine - Mid-Year Business Review