Patient Navigation

NY Health Plan Helps Members Navigate Health Insurance Renewals

June 6, 2023 - New York-based health plan Healthfirst has launched a campaign to help members navigate health insurance renewals in a post-public health emergency (PHE) world. During the COVID-19 PHE, Healthfirst Medicaid, Child Health Plus, Essential Plan, Medicaid Advantage Plus, Medicare Advantage Dual-Eligible Plan, and Managed Long-Term Care members had...


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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...

Brokers, Assisters Share Affordable Care Act Marketplace Consumer Trends

by Kelsey Waddill

Assister programs and brokers found that consumers lacked awareness about Marketplace subsidies and rules and experienced delays in receiving their final eligibility determination, according to a...

HHS, CMS Bump Affordable Care Act Marketplace Navigator Funding

by Kelsey Waddill

The Biden administration announced a historic boost in funding for the Affordable Care Act marketplace Navigator program.  The US Department of Health and Human Services (HHS) and CMS have set...

UHG Initiative for Children with Special Needs Boosts Net Promoter Score

by Kelsey Waddill

Tailored care and streamlining payment and insurance functions can help improve families’ experiences with special needs care for children with special needs, according to UnitedHealth...

More Consumers Find Transparency Tools Accessible, Useful in 2022

by Kelsey Waddill

More consumers reported that their health plans are offering transparency tools and overall consumer awareness about the availability of transparency tools has grown, according to a study conducted on...

KLAS Identifies Top Vendor for Core Administration Platforms

by Kelsey Waddill

Core administration platforms are essential to a payer’s functions and KLAS has identified one platform that pulls ahead of most of its competitors on most metrics, according to a KLAS report...

How Payers Can Improve Cancer Patient Navigation, Experience

by Kelsey Waddill

As executive director of state government affairs at the Leukemia and Lymphoma Society (LLS), Lucy Culp has heard a common refrain from cancer patients: securing treatment and coverage has become a...

Payers Drive Patient Navigation, Education to Cut Uninsurance

by Kelsey Waddill

Health Care Service Corporation (HCSC) seeks to address uninsurance in the US by developing an education and patient navigation campaign, known as Be Covered, to inform the uninsured of their health...