If an organization is open to change, it will always result in a successful, smoother implementation of new technology.
For those who are reluctant to chang…
As health plans continue to compete for membership, I have seen a shift in the market toward a focus on member-centricity. Health plans competing to aggressive…
The Impacts of Sustained Unemployment For Health Plans
The COVID-19 pandemic has caused massive unemployment in the U.S.; as a result, the Kaiser Family Foundation estimates that nearly 50 million American workers …
Measuring IT Investment From A Risk Mitigation Approach (Rather Than ROI)
Most buyers of healthcare/health insurance IT are, by nature, risk-averse. There are very legitimate reasons for concern: IT infrastructure is expensive, compl…
The Ongoing Search to Reduce Costs, Increase Quality
Those working in health plan operations are always in the fury of the moment. They are focused on what is the next emergency. How many people is that going to …
Value-Based Care Requires Payer-Provider Collaboration
Payers are increasingly incorporating social determinants of health (SDoH)— biology and genetics, individual behavior, social environment, physical environment…
Leveraging Real-Time Data for a Meaningful Customer Experience
Health plans know that better member engagement can lead to improved health behaviors as well as enhanced customer satisfaction. That is why they are investing…
There are several critical considerations for payers looking to build top quality, high-performing and competitive Medicare Advantage plans.
Communication i…
Analytical Insights Critical for Smart Business Decisions
For health plans with limited resources, cost pressures continue to weigh heavy. Outdated technology and siloed systems can adversely impact operational effici…
What Would a Do-Over Look Like For The Healthcare Industry?
Ever have the kind of day where you wish you could go back and start over? Press reset so you could avoid the errors you made the first time around? Unfortunat…
Inefficient Processes Stifle Creativity and Continuous Improvements
Whether it is value-based benefits, episodes of care, or evolving state and federal regulations—without the right technology, health plans will struggle to kee…
