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Understanding Healthcare Regulations and Compliance

Adherence to healthcare regulations and compliance is top-of-mind for organizations. In fact, the demand for compliance officers is expected to increase over the next few years—and with good reason. Healthcare regulations are important for ensuring patient safety and maintaining the quality of healthcare services. However, it can be hard to keep up with new regulations […]

Your Roadmap to Health Plan Success

In the United States, health insurance is a top priority for a majority of individuals. According to the Census Bureau, over 92% of the population had coverage at some point during 2022. People comb through their health plan options to ensure that the services they require are covered at a price they can afford. If […]

Harvesting Membership Analytics to Power Better Engagement

All health plans have strategic goals in common: improved health outcomes, lower costs, higher retention, and increased satisfaction. What those goals have in common is the central role member engagement must play. That makes understanding what engages your membership – and executing strategies to capture that engagement – mission-critical skill sets. Across the industry, the [...]

Think Regulated Documents Can’t Drive Engagement? Think Again!

In the realm of healthcare, extensive quantities of regulated and mandatory communications are regularly dispatched to members by healthcare payers. These communications include the distribution of Annual Notice of Change (ANOC) documents and 1095-B forms on a yearly basis, along with Explanation of Benefits (EOBs), invoices, letters, and provider directories, which are sent throughout the [...]

The Business Case for Member Engagement

Engagement has long been a priority for health plans as a measure to reduce the risk and cost of member attrition. More recently, it has become mission critical due to changes in how consumers and government agencies evaluate plan care and service performance. Namely, the Centers for Medicare and Medicaid Services (CMS) measures how well Medicare plans perform […]

Tapping Your Untapped Engagement Advantage

It’s no secret that the member-payer relationship is transforming from purely transactional to one that is more supportive, wellness-focused, and consultative. There are solid business imperatives behind a health plan’s urgency for member engagement. Increasing member engagement has been a top priority for health plans for years. As managed care has become the predominant form […]