Capturing and maintaining accurate provider data is crucial for the success of health plans but remains challenging, with 81% of physician directory entries still showing inconsistencies despite regulatory efforts, as highlighted by a study in the Journal of the American Medical Association.

This infographic highlights the importance of robust provider data management, emphasizing its vital role in five key areas with direct impact on health plans’ bottom line:

• Member experience: driving member growth and retention
• Access to care: reducing out-of-network claims
• Regulatory compliance: reducing the risk of regulatory penalties
• Provider network collaboration: streamlining provider profile enhancements
• Improving operational efficiency: reducing manual data updates

To continue building your business case for provider data management, download Kyruus Health’s Comprehensive Guide.

Provider Data Management: A Key to Health Plan Financial Health

Capturing and maintaining accurate provider data is a critical component of a health plan’s success, yet one that remains a top challenge. Provider information is frequently changing, making the task of maintaining this dynamic data seem daunting. Additionally, data is often fragmented, presenting a continuous challenge in pinpointing and correcting inaccuracies.

This guide explores the various provider data obstacles faced by health plans and presents a compelling business case for robust provider data management, emphasizing its vital role in five key areas with direct impact on health plans’ bottom line:

• Member experience: driving member growth and retention
• Access to care: reducing out-of-network claims
• Regulatory compliance: reducing the risk of regulatory penalties
• Provider network collaboration: streamlining provider profile enhancements
• Improving operational efficiency: reducing manual data updates

Insights and Benchmark Data from Kyruus Health and League with Perspectives from Highmark Health and Blue Cross Blue Shield Nebraska

The digital transformation of healthcare presents a multifaceted challenge, but it is one that health plans must embrace. This guide reveals how innovation, data utilization, and strategic partnerships can elevate digital offerings, attract and retain employers, and empower members to actively manage their health. By implementing these insights and strategies, health plans can unlock new growth opportunities, foster deeper engagement with members, and ultimately shape the future of healthcare delivery.

Key Takeaways:

• Digital transformation is not a one-time project but an ongoing journey.
• Member and employer needs must be at the forefront of all digital initiatives.
• Data is a critical asset that can inform decision-making and drive innovation.
• Partnerships with technology vendors can accelerate innovation and deliver world-class experiences.

Strategies to Optimize Digital Tools for Employer Groups | Kyruus Health + League Webinar

Are your transparency tools, member portal, and other digital offerings truly meeting the expectations of your self-insured (ASO) employer groups? During this webinar, speakers from Highmark Health, BlueCross BlueShield Nebraska, League, and Kyruus Health delved into why digital transformation efforts sometimes fall short and offered guidance on elevating digital tools to captivate employer groups and engage members.

What to expect:

• Learn strategies to optimize your digital offerings to ensure they meet and exceed expectations of employer groups, fostering higher satisfaction and greater collaboration
• Understand the common pitfalls that hinder successful digital transformation initiatives and explore actionable steps to overcome these challenges
• Discover key trends, best practices, and innovative approaches to ensure your organization remains at the forefront of providing seamless digital solutions

Speakers:

• Holly Kovy, Large Group Market Leader, BlueCross BlueShield Nebraska
• Stacy Byers, Senior Vice President of Experience, Design, & Digital, Highmark Health
• Brian Yeh, Vice President of Customer Strategy, League
• Moderator: Morgan Beschle, Vice President of Product Management, Kyruus Health

Digital Access Insights from a Survey of 1,000 Healthcare Consumers

The 2024 Care Access Benchmark Report for Health Plans, based on a survey of 1,000 healthcare consumers, provides a comprehensive overview of the current state of care access and digital engagement. The survey reveals why many individuals are skipping or delaying care and underscores the growing demand for digital self-service functionalities, such as online scheduling and out-of-pocket cost estimation tools.

Despite progress in digital tools following Transparency in Coverage mandates, consumer awareness and usage of these tools are declining, with many requesting additional resources and guidance to navigate their healthcare options effectively. Inaccurate provider information continues to be a challenge, leading to care delays or avoidance for many consumers.

The report also highlights notable generation differences. Gen Z, now the leading users of transparency tools, demand more from health plans, including detailed provider profiles with photos and videos. In contrast, older generations show less awareness of digital offerings, indicating a need for targeted campaigns to educate them on the benefits of these tools.

Download the full report for actionable steps health plan organizations can take to understand breakdowns in the member experience and to assist members in navigating their healthcare journey.

Increasingly, consumers want a more connected, and personal, healthcare experience. And, they’re letting their preferences be known. Consumers prefer, and increasingly demand, digital self-service. Whether it is patient self-scheduling, check-in, or payment, patients want to do it online.

In this webinar, we examine the current landscape of digital self-service in healthcare. Join us to explore approaches you can adopt to meet consumer preference for convenience while also boosting operational efficiencies for staff.

You’ll learn how to:

● Deploy self-service tools including provider search, patient self-scheduling, and check-in to effectively drive impact and accelerate time to value
● Ensure that the find-care experience on your website is connecting patients to the right care
● Expand upon self-service offerings over time, guided by insights from consumer demand

Take home actionable insights and strategies that will help you shape the future of care access!

Today’s consumers expect access to digital self-service capabilities at multiple points during their journey to accessing care. While oftentimes organizations view digital transformation as an elaborate, complex process, it doesn’t have to be. This guide breaks it down step-by-step and offers a crawl, walk, run approach that allows organizations to progress at their own pace.

The guide is broken into two main sections: 

• Improved Search & Patient-Provider Matching
• MEDITECH-Integrated Patient Self-Scheduling

For additional insights and actionable strategies for a crawl, walk, run approach to implementing digital patient access tools, download the guide.

Today’s consumers expect access to digital self-service capabilities at multiple points during their journey to accessing care. While oftentimes organizations view digital transformation as an elaborate, complex process, it doesn’t have to be. This guide breaks it down step-by-step and offers a crawl, walk, run approach that allows organizations to progress at their own pace.

The guide is broken into 3 main sections: 

• Improved Search & Patient-Provider Matching
• 24-Hour Online Patient Self-Scheduling
• Expedited Digital Patient Check-In, Intake, & Payment

For additional insights and actionable strategies for a crawl, walk, run approach to implementing digital patient access tools, download the guide.