Posts Tagged ‘Payer’

This is the second part of our series in which we’re discussing the increasing need to build trust among healthcare consumers. The analytics and opinion-polling firm Gallup has found a decline in Americans’ trust in many institutions and industries, including healthcare. This means building strong, ongoing relationships with consumers and members will be more critical […]

Douglas Stewart, principal of healthcare and life sciences, is utilizing his 20 years of healthcare experience to offer our clients the best solutions to their most complex challenges. We recently connected to discuss how he came to join the Perficient team. I loved hearing more about his background in the healthcare space and what he […]

With robust industry expertise, our healthcare team achieves excellence in transforming how the world’s biggest brands connect with consumers and grow their businesses. I recently sat down with one of these experts. Marybeth Wrabel is a lead of payer strategy at Perficient who applies her 20 years of expertise in the payer industry to deliver […]

In my previous posts, I looked at five macro-themes as well as five implications for hospitals. In this post, I want to focus on health plans and I’ve enlisted a co-author – Priyal Patel, Director of Health Plan CX at Perficient. These predictions for health plans are in light of the five themes I see […]

I want to kick off 2021 by record on the changes we could see in the year ahead. While 2020 was “unprecedented,” with a Democrat-led federal government, I expect a lot to change healthcare. In fact, I’ve come up with 21 digital health predictions about 2021 – and this first set is focused on the broad market themes that will be felt by every player.  […]

This year at Gartner IT Expo, Mandi Bishop, Senior Director and Analyst at Gartner, discussed the (mostly) hype-free plan to digital strategy.  She was very focused on a pragmatic approach.  Digital strategy to her is about optimization 2017 and 2018 was about “learning how to pedal”  2019 is about optimizing the motion.  Your digital business […]

Creating the Connected Health trends report requires us to, among other things, mine through approximately 30,000 news coverage points per year. Circulating through the news in 2015 we found much on the topic of the new world of health insurance. Big news on this front was the industry consolidation under a string of potential mergers. […]

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 […]

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 […]

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 […]

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 […]

There is an ACO belief out there that “if you build it, they will come.” This belief is all based on honorable intentions for the patient and our communities. I just want to know what marketing plan and mobile application was used to contact all the baseball fans to go to Iowa in the movie […]