Posts Tagged ‘health plan’

How bots can improve health plans' customer-member experience

5 Ways Bots Can Boost Health Plans’ Customer-Member Experience

Customer experience is predicted to overtake product and price as the No. 1 differentiator among businesses by 2020, according to “Customers 2020: A Progress Report” by Walker, a customer experience consulting firm. We’re finding organizations are turning to artificial intelligence (AI) to meet growing consumer demands. Health plans cannot afford to miss this opportunity to […]

ACA and QRS – Shoot for the Stars Part 3

In ACA and QRS – Shoot for the Stars Part 1, I laid out the overall domains that are going to be used to score QHP plans offered through the Marketplace. In Part 2, I discussed some factors to consider for the data derived measures. In this blog, we will take a closer look at […]

HC Data

ACA and QRS – Shoot for the Stars Part 2

In ACA and QRS – Shoot for the Stars Part 1, I laid out the overall domains that are going to be used to score QHP plans offered through the Marketplace. In this blog, we will take a closer look at the data derived measures and what factors a QHP issuer should consider to achieve […]

Shoot for the stars!

ACA and QRS – Shoot for the stars! Part 1

Last month I posted “ACA’s Quality Rating System – An opportunity to gain market share”, which explained how QHP issuers can gain market share in the individual space. In that blog I mentioned that, as part of the Quality Rating System, plans offered on the Marketplace will receive a “Star” rating based on a 5 […]

Key Components to Collaboration between Payers and Providers

There is no doubt that the relationship between payers and providers is beginning to change, evolving from challenging and adversarial interactions into more collaborative exchanges. Kurt Allman, in his article in Healthcare Payer News this week, outlines 3 components for this relationship to be successful: Data collection “Payers collect a lot of data, which can […]