Dr jay feldman amid Health Reform continues to unfold, The changes are picking up speed as new models for reimbursement and care delivery and access are beginning to emerge.
The shifts in the healthcare provider side are positive news for the millions of Americans who require better care from the health system, particularly since many patients suffering from chronic illness aren’t receiving the care they require. Add to that the fact that a majority of patients don’t adhere to their medications and treatment regimens or follow the recommended lifestyle and lifestyle changes, and it’s easy for one to recognize specific challenges to be faced.
It is where the payer’s side, especially health plans, could assist.
Health plans have access to claim data and other pertinent information about clinical care and a direct connection to their members to provide targeted communications and medical interventions. Although not a typical strategic requirement, health plans have a chance to influence behavior change, lower risks, and create positive healthcare outcomes for members.
The majority of plans offer member portals as well as other valuable tools, and many have started to concentrate on expanding these services and initiatives to increase their impact and value. However, to be competitive in this ever-changing market, they’ll have to shift their thinking and approach to a more oriented toward consumers.
After an entire decade of stagnant development, Healthcare Consumerism has begun to grow. The number of people enrolled in a high-deductible insurance plan (HDHPs) has reached a record high, at 23% of people with insurance provided by employers are enrolled within an HDHP. Other emerging factors like price comparison tools, high-quality ratings, and the availability of retail health options will continue to place more power in the hands of the consumer.
Dr jay feldman health plans must respond to this trend and create strategies or collaborate with top-of-the-line service providers for their members. It puts more pressure on outreach to members to ensure that interactions are constructive relevant, and meaningful and build trust.
It isn’t going to be simple. Recent studies reveal a massive distrust between insurers and customers. The KMB Group survey of 34,000 members found that just 22% of the members have their health insurance plans as a “trusted source.” it is in contrast to 80% of physicians.
The American Customer Satisfaction Index (ASCI) report shows that customers’ satisfaction with health insurance decreased in 2013 and 2014. saying, “There is no area where health insurance companies offer an outstanding experience.”
Engagement with members is an emerging area for the majority of health plans. In light of Medicaid growth, as well as the surge of aging Medicare members and those who are newly insured, it’s more important to offer consumer-focused communication and intervention.
As Star Ratings and other quality metrics gain prominence as consumer brand choice and loyalty become important aspects, health plans will soon find themselves striving for the best experience for their customers while ensuring outstanding member engagement.
There are a variety of areas that require to be considered when creating a successful member engagement strategy.
1. Learn the way consumers think and behave within their health and healthcare environment.
Health plans must undertake a thorough and transparent analysis of the outreach they provide to members, in addition to all ongoing interactions, customer service components, and the related functions. It is the primary beginning point to making meaningful changes and may help uncover more about the consumer process. Furthermore, fields like behavioral economics can provide a wealth of insights and could help develop an effective communication strategy for members.
2. Implement a member-centric marketing strategy built around their needs and needs.
Health plans should become a valuable partner by utilizing a consumer-oriented mindset when establishing the communication strategy and identifying actions that can measure. Strategic messaging must integrate into every member interaction and other aspects of outreach. Many health plans depend on old correspondence from their chief medical Officers as the basis for introducing various health enhancement initiatives. Get rid of them and look for ways to make the information relevant, helpful, and credible for the individual receiving it.
3. Integrate and align the health improvement services offered.
A majority of health insurance plans can tick all the boxes to their offerings in health as well as health management, care management, pharmacy coordination, and a myriad of other options but bringing all of them together into a single solution is what customers desire to require. Providing an additional layer of assessment and feedback plans can ensure customers receive the most relevant services.
There are a variety of ways that health plans could think about expanding their capabilities to become focused on their members and focusing on engagement. There’s plenty they could do to change the member’s behaviors, lower risk, and help improve overall health outcomes. All of which will result in higher returns and margins.
Dr jay feldman health plans can learn and implement various consumer marketing strategies used in other industries, which will create more positive experiences for patients in the healthcare industry. In a health plan for the consumer market, the top performers who emerge will be those who can achieve the highest levels of participation of the members.