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CONNECTED HEALTHCARE: MOMENTS THAT MATTER FOR PAYERS


A GUIDE TO UNIFYING MEMBER AND PROVIDER EXPERIENCES FOR BETTER OUTCOMES






CONNECTING THE DOTS IN MEMBER AND PROVIDER JOURNEYS

Discover how to streamline operations so you can create simpler, more connected
healthcare experiences for members and providers on any channel they choose.
Discover how to streamline operations so you can create simpler, more connected
experiences for members and providers on any channel they choose.

 


CREATING ENGAGEMENT:
FROM DIAGNOSIS THROUGH ADHERENCE

In the age of COVID-19, pharmaceutical innovators are moving faster than ever to
engage patients with personalized insights and recommendations. The goal: to get
to the best possible outcome by making it easier to start and stay on treatments
— no matter the situation. Here’s how to create a patient-centric experience
that is compliant, reduces operational costs, and scales by therapeutic area.


 
 * Shop and Enroll
 * ACCESS CARE
 * Manage Health



 





 
 
 


THE SHOP AND ENROLL MOMENT

Members want a user-friendly experience as they shop for coverage that meets
their needs, but outdated payer systems are complex and disjointed. Worse,
manual processes are often time-consuming and complicated. The result? Everyone
is frustrated and member trust is compromised.


CONSOLIDATE, STREAMLINE, AND AUTOMATE.

Give members confidence in coverage choices with operational efficiencies for
intuitive shopping and enrollment. Start by building connected healthcare
systems that intelligently integrate data across business lines and product
types. Then you can automate eligibility, personalize recommendations, or create
prebuilt workflows based on data-led insights. You’ll be ready for any type of
shopper — individual, broker, or employer. With purpose-built solutions, your
speed to market increases so you can create member satisfaction from the very
first moment of their health journey.




HOW TO MAKE THIS MOMENT MATTER:


 
 
 


THE SHOP AND ENROLL MOMENT

Members want a user-friendly experience as they shop for coverage that meets
their needs, but outdated payer systems are complex and disjointed. Worse,
manual processes are often time-consuming and complicated. The result? Everyone
is frustrated and member trust is compromised.


CONSOLIDATE, STREAMLINE, AND AUTOMATE.

Give members confidence in coverage choices with operational efficiencies for
intuitive shopping and enrollment. Start by building connected healthcare
systems that intelligently integrate data across business lines and product
types. Then you can automate eligibility, personalize recommendations, or create
prebuilt workflows based on data-led insights. You’ll be ready for any type of
shopper — individual, broker, or employer. With purpose-built solutions, your
speed to market increases so you can create member satisfaction from the very
first moment of their health journey.



HOW TO MAKE THIS MOMENT MATTER:




 
 


ARTICLE

HEALTHCARE ENROLLMENT IN THE AGE OF DIGITAL AND UNKNOWNS

Learn how a comprehensive platform for converged media-buying and advertising is
key to growth.
Read the article

The modern health plan: Automate sales and improve experiences with an industry
cloud.



WEBINAR

AUTOMATE SALES AND IMPROVE EXPERIENCES

Watch the on-demand webinar.
Watch the webinar
The modern health plan: Automate sales and improve experiences with an industry
cloud.


ARTICLE

THE AGILE HEALTH PLAN

Consolidate systems, achieve operational excellence.
GET THE ARTICLE




 
 
 


THE ACCESS CARE MOMENT

Payers struggle to onboard providers quickly, keep directories up to date, and
reimburse them without hiccups. Meanwhile, members find searching for the right
providers to be a hassle. So how do you build a healthy provider network and
give members easy access to the care they need?


UNIFY, TARGET, AND GUIDE.

With a consolidated platform, payers can simplify the provider experience by
streamlining processes for onboarding and relationship management. Then you can
grow and manage your network so members enjoy a robust menu of providers.
Discovery will be easier, too, because they can count on targeted
recommendations from call center teams or self-service portals. An agile
engagement platform also enables payers to quickly adapt to changes in the
marketplace and provides transparency for both providers and members. When
systems are automated and interoperable, you make it easier for providers to
work with you and for members to get personalized support.


THE ACCESS CARE MOMENT

Payers struggle to onboard providers quickly, keep directories up to date, and
reimburse them without hiccups. Meanwhile, members find searching for the right
providers to be a hassle. So how do you build a healthy provider network and
give members easy access to the care they need?


UNIFY, TARGET, AND GUIDE.

With a consolidated platform, payers can simplify the provider experience by
streamlining processes for onboarding and relationship management. Then you can
grow and manage your network so members enjoy a robust menu of providers.
Discovery will be easier, too, because they can count on targeted
recommendations from call center teams or self-service portals. An agile
engagement platform also enables payers to quickly adapt to changes in the
marketplace and provides transparency for both providers and members. When
systems are automated and interoperable, you make it easier for providers to
work with you and for members to get personalized support.



HOW TO MAKE THIS MOMENT MATTER:


HOW TO MAKE THIS MOMENT MATTER:




 
 


BLOG

HEALTHCARE PLANS CAN SERVE PATIENTS FASTER

Unlock greater efficiencies and get patients the care they need faster.
READ NOW

Create a Digital-First Network Management Experience



WHITE PAPER

CREATING A DIGITAL-FIRST NETWORK MANAGEMENT EXPERIENCE

Deliver seamless provider onboarding.
GET THE WHITE PAPER
Create a Digital-First Network Management Experience
Eliminate Onboarding Friction and Improve Provider Experiences



ON-DEMAND WEBINAR

IMPROVE PROVIDER EXPERIENCES

Reduce provider friction and expand care access.
WATCH NOW
Eliminate Onboarding Friction and Improve Provider Experiences


 






 
 
 


THE MANAGE HEALTH MOMENT

High-risk populations are difficult to both identify and manage at scale. That
makes it hard for payers to prioritize members who need extra support and to
collaborate with providers so you can ensure these groups adhere to care plans.
The result? Impaired outcomes and trust, especially for those facing barriers to
care.


IDENTIFY, PRIORITIZE, AND PERSONALIZE.

A platform that unifies systems of record can help identify cohorts that need
tailored programs and automate outreach at scale. This supports better health
outcomes, reduces readmissions, and engages members for the long term. You’ll be
able to draw insights from social determinants of health and proactively offer
non therapeutic services — such as transportation — to make care more
accessible. For ongoing support, an end-to-end platform connects healthcare
payers, care teams, and patients all in one place. That foundation creates a
lifetime of personalized, patient-centered support while meeting value-based
initiatives for cost-effective, high-quality care.




HOW TO MAKE THIS MOMENT MATTER:


 
 
 


THE MANAGE HEALTH MOMENT

High-risk populations are difficult to both identify and manage at scale. That
makes it hard for payers to prioritize members who need extra support and to
collaborate with providers so you can ensure these groups adhere to care plans.
The result? Impaired outcomes and trust, especially for those facing barriers to
care.


IDENTIFY, PRIORITIZE, AND PERSONALIZE.

A platform that unifies systems of record can help identify cohorts that need
tailored programs and automate outreach at scale. This supports better health
outcomes, reduces readmissions, and engages members for the long term. You’ll be
able to draw insights from social determinants of health and proactively offer
non therapeutic services — such as transportation — to make care more
accessible. For ongoing support, an end-to-end platform connects healthcare
payers, care teams, and patients all in one place. That foundation creates a
lifetime of personalized, patient-centered support while meeting value-based
initiatives for cost-effective, high-quality care.



HOW TO MAKE THIS MOMENT MATTER:


HOW TO MAKE THIS MOMENT MATTER:




 
 


GUIDE

360 DEGREES OF HEALTHCARE

Meet member expectations.
GET THE GUIDE



ON-DEMAND WEBINAR

CONNECTING CARE FOR HIGH-RISK MEMBERS

Coordinate and collaborate with providers.
WATCH NOW



E-BOOK

HEALTHIER MEMBER OUTCOMES WITH HEALTH CLOUD

Use AI to identify and manage at-risk populations.
GET THE E-BOOK



 

 
 


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GET TIMELY UPDATES AND FRESH IDEAS DELIVERED TO YOUR INBOX.

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