Tag Archives: health plan

Kidney Resource Services: Earnestine’s story

Chronic kidney disease (CKD) is a complex and costly condition. One in seven adults has CKD. Earnestine was one of them. Fortunately, through Optum® Kidney Resource Services, she was able to work with Carolyn, a nurse case manager, to help her follow the strict diet recommended by her doctor, take her medications and understand her […]
Read More »

Is a provider-led health plan a good fit? Evaluate 6 areas to find out

To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
Read More »

Taking a three-pronged approach to personalizing the consumer journey

The health care market is in the midst of transformative change. Demographic shifts and regulatory and societal changes are intensifying pressures on consumers and health systems alike. As consumers take on personal responsibility for their care while navigating a complex and dynamic market, businesses are challenged to differentiate themselves by delivering value, innovation and exceptional […]
Read More »

Developing a consumer journey map? Don’t miss these 10 components.

Health plans have learned from the retail industry that providing a first-class consumer experience requires time, money and energy. It also requires an understanding of the existing consumer experience, as seen through the eyes of the consumer. That’s why it’s important for health plans to have a consumer journey map to capture the interactions between […]
Read More »

Four steps to creating engaging member communications

It’s no surprise that a vast majority of consumers feel overwhelmed by their health care — there is a lot to manage. From choosing the right plan and providers, to taking care of preventive screenings, managing conditions and making the right lifestyle choices. Health plans do their best to make the health care journey easier […]
Read More »

Driving the member experience with data

In the age of the empowered consumer, it’s no surprise that organizations with vast amounts of consumer data are also the most successful at influencing purchasing decisions. Data holds the key to anticipating, and subsequently delivering, what consumers are most likely to want or need — often before he/she even realizes that they want or […]
Read More »

Countdown to ICD-10: End-to-End Testing Ensures System Readiness

By now, most health plans have October 1, 2014 marked in red ink on their calendar. That date is well known (and sometimes feared) as the latest implementation deadline for ICD-10, set by the Department of Health and Human Services.  The ICD-10 coding system is the first change to the U.S. medical billing and disease-tracking […]
Read More »

ICD-10 Deadline Delay: No Time for a “Wait-and-See” Approach To Compliance

As is widely known by now, the deadline for compliance with ICD-10 was pushed back one year to 10/1/14.  Health plans should be using the extra time to continue on their path to transition; and some should even accelerate efforts to implement the new medical billing codes.