Member Engagement

More Articles

Payers Embrace Healthcare IT for Cost Optimization, Member Engagement

by Victoria Bailey

Payers are investing in healthcare IT resources to support cost optimization and improve member experience, according to a study from EY-Parthenon and KLAS Research. As payers face operational and...

Blue Cross of Idaho Invests in Digital Platform, Improving Senior Care

by Victoria Bailey

Blue Cross of Idaho and several venture capital firms have invested in Endear Health, a digital platform that aims to improve value-based care delivery for Medicare Advantage beneficiaries. The...

Top Member Education Strategies for High Performance Network Benefits

by Kelsey Waddill

As payers and employers gravitate toward high performance networks, there is a demand for better member education around these plans’ benefits. Regulators have expressed concerns that high performance networks will limit...

4 Essential Components of Chronic Disease Management Strategies

by Kelsey Waddill

With the US spending $3.7 trillion on diseases like diabetes, cancer, and other long-term conditions each year, payers cannot afford to falter on chronic disease management. Chronic disease spending and prevalence trends are stark, but...

Why CMS Paused Medicaid Coverage Redeterminations in 6 States

by Victoria Bailey

Almost four months after the Medicaid continuous enrollment provision ended, CMS has paused coverage redeterminations in at least six states. In a press call on July 19, CMS Administrator Chiquita...

First Impressions Count: How Onboarding Affects Member Engagement

by Kelsey Waddill

According to Christopher Lis, managing director of global healthcare intelligence at JD Power, if payers refined their onboarding processes, it could reform payers’ track record on health plan satisfaction. Specifically, he promoted...

How to Personalize Chronic Disease Management through Concierge Care

by Kelsey Waddill

Updated 6/21/2023: This article has been updated to correct a name and title error. The interviewee's name and title have been corrected to "Anthony Nguyen, chief clinical officer at Elevance Health." A previous version...

Most Employers Will Enhance Services to Improve Employee Wellbeing

by Victoria Bailey

Nearly nine in ten employers plan to adjust their vendor partnerships over the next two years to improve employee wellbeing benefits, according to a survey from Willis Towers Watson (WTW). The survey...

FCC Allows Use of Automated Calls, Texts for Coverage, Enrollment Info

by Victoria Bailey

The Federal Communications Commission (FCC) has issued guidance allowing federal and state governmental agencies to send automated calls and text messages providing individuals with information about...

Harvard Pilgrim, Tufts Health Plan Increase Caregiver Support for Members

by Victoria Bailey

Harvard Pilgrim Health Care and Tufts Health Plan have partnered with a digital care concierge service to provide commercial members with personalized caregiver support. The two health plans announced...

62% of Adults Are Unaware of Medicaid Renewals Resuming Post-PHE

by Victoria Bailey

More than half of adults who are enrolled in or have a family member enrolled in Medicaid were unaware of upcoming Medicaid renewals set to resume after the COVID-19 public health emergency (PHE) ends,...

Offering Easy Access to Care Is Key to Positive Member Experience, Retention

by Kelsey Waddill

Member experience is key to member retention and, in order to boost member experience, payers must consider whether they are offering easy access to care and straightforward care navigation, according...

Community-Based Orgs Can Help Manage Post-PHE Medicaid Coverage Changes

by Victoria Bailey

Through collaborating with community-based organizations, family-led organizations, and individuals with lived experiences, states can help guide their communities through Medicaid coverage changes...

Personalized Phone Calls, Emails Boosted ACA Enrollment Rate in CA

by Victoria Bailey

Personalized phone calls combined with email reminders were an effective outreach method for former Medicaid beneficiaries transitioning to Affordable Care Act (ACA) coverage, as the approach led to a...