Member Engagement

4 Health Benefits That Are Valuable to Small Businesses

by Kelsey Waddill

Business decision-makers on the small group health insurance market are prioritizing health insurance benefits and reconsidering plans with which they currently have contracts, a recent survey by Cigna...

How Payers Can Improve Member Engagement by Partnering with Members

by Kelsey Waddill

Payers have continued to see low consumer satisfaction with member engagement throughout the coronavirus pandemic, as plans scored an overall satisfaction score of 719 out of 1,000, a recent JD Power...

Beyond COVID-19: Telehealth, Partnerships, Member Engagement

by Kelsey Waddill

While the coronavirus pandemic which gripped the nation in March 2020 is still in force, payers are beginning to look to the future as the nation emerges from crisis mode. Many uncertainties still hang in the air regarding the trajectory...

The Building Blocks of an Effective Coronavirus Response Strategy

by Emily Sokol, MPH

Payers are in a unique position to respond to many aspects of the coronavirus from payment of testing and treatment to community education. But there is no playbook for appropriate or effective responses. In such unique circumstances,...

AHIP Releases COVID-19 Priorities as States Consider Re-Opening

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) teamed with chief medical officers from member health plans to develop a list of principles related to coronavirus care that plans should prioritize as...

How Population Health Tactics Fortify COVID-19 Member Engagement

by Kelsey Waddill

As the healthcare system reels from the coronavirus, payer success in member engagement relies in part on effective implementation of population health management strategies. For more coronavirus...

How to Improve Medicaid Member Engagement, Care Coordination

by Kelsey Waddill

California’s whole person care 1115 Medicaid demonstration waiver illustrates the challenges Medicaid programs face in providing care coordination for Medicaid beneficiaries and offers insight on...

Member Engagement Requires Advanced Analytics, Specialized Team

by Kelsey Waddill

Member engagement strategies need to make better use of advanced analytics, be more attuned to members’ journeys of care, and culminate in a tight, dedicated team with a broad range of...

52% of Members Surveyed Saw No Member Engagement on Coronavirus

by Kelsey Waddill

Communication is key to fighting coronavirus yet some members found payer member engagement lacking in the early weeks of the pandemic, a recent eHealth survey underscored. For more coronavirus...

Using Member Engagement to Create Personalized Payer Experience

by Kelsey Waddill

Two Blue Cross Blue Shield Association companies are demonstrating how personalization of healthcare solutions continues to be the golden fleece for healthcare payers. “Employers are rethinking...

Challenges and Solutions of Medicaid Beneficiary Communication

by Kelsey Waddill

Handling Medicaid beneficiary communication can be a complex undertaking, more challenging than what payers face with most employer sponsored health plan members. But new insight from Adaptation...

In-Person Care Still Valued in Digital Age, Consumer Survey Finds

by Kelsey Waddill

While virtual care is attractive, patients still value in-person care, according to a consumer survey conducted by Blue Cross Blue Shield Arizona (BCBSAZ) and USC Schaeffer Center. "It's our job...

Digital Payments May Help Individual Market Premium Collections

by Kelsey Waddill

Only half of individual health insurance market members pay their premium bill on time, potentially pointing health plans toward digital payment tools for premium collections, finds a recent Aite Group...

Payers Turn to Younger Vendors for Utilization and Care Management

by Kelsey Waddill

Not price, not incumbency, but functionality is the key to winning and losing payers’ business, the KLAS Decision Insights Report 2019 indicated. Payers want highly functional, integrated,...

5 Strategies for 5 Stars: Cigna’s Approach to CMS Star Ratings

by Emily Sokol, MPH

Achieving five stars in all three domains – Medicare Advantage, Part D, and overall - is difficult. The work of Cigna’s HealthSpring of Florida plan in 2018 earned them five-stars across the board, making them one of only two...

How Payers Transform Volumes of Data into Actionable Information

by Kelsey Waddill

Payers want to know how to drive a personalized care management plan, how to excel at member engagement, and how to improve outcomes, all ultimately to cut costs. But when a payer attempts to answer...

Financial Rewards Tied to Wellness Program, Beneficiary Engagement

by Sara Heath

Integrating financial rewards and social activities into wellness programs will make them more attractive to participants, ultimately improving beneficiary engagement, according to a recent survey from...

86% of Payers Fail to Deliver Readable Medicare Communications

by Jennifer Bresnick

Most documents intended for Medicare and Medicare Advantage members do not meet accessibility standards for the average reader, according to a new report from VisibleThread, a text analysis...

60% of Medicare Advantage Members Feel Little Motivation from Plans

by Jennifer Bresnick

Medicare Advantage (MA) plans are not doing enough to motivate their members to improve their personal health, according to a new survey from HealthMine. Sixty percent of members participating in the...

ACA, Member Engagement Challenges Led Top 10 Stories of 2018

by Jennifer Bresnick

It’s fair to say that the health payer community had a lot to process in 2018.  Mergers, partnerships, and new entries into the field rocked the traditional industry setup, while federal...