![]() ![]() Think: my doctor said I need to get X treatment, but is that actually covered by my plan? What will it cost me out-of-pocket? Have I reached my deductible? This may be due, in part, to the frequent introduction of new types of care within their care plan. Those with chronic conditions or receiving a complex procedure had a higher level of confusion regarding patient benefits than other members. What does EOB mean? Why do the numbers look different on different pages? Is the amount correct? Why did I get two bills last time and only one this time? Am I missing something? Should I pay this now or wait? Is this the final bill, or will there be another?Īnother area for improvement was complex care. Of course, no one likes getting a bill, but this dip in satisfaction seemingly had more to do with the complexity of the current billing process rather than the bill itself. One area in particular where we saw a massive drop was post-care (aka actually receiving the bill). In Zelis’ member empowerment study, we found a few common places where members from across the care continuum were less satisfied. Telehealth, touchless engagement, and self-service scheduling became the new normal.Ĭonsumers now expect 24/7 access to their healthcare journey and all the resources that go with it (e.g., care records, payment plans, health insights).Īnd that’s just the beginning. As such, healthcare’s current combination of technological revolution and burgeoning scientific and patient insight has created a unique opportunity for transformative possibilities across the industry.ĬOVID-19 changed nearly every aspect of the patient journey, accelerating the need for digital transformation industry-wide. The 2010s began with the implementation of the Affordable Care Act (ACA) and ended with a deluge of big tech and retail ventures that blurred traditional healthcare boundaries. Patients are better informed and more actively engaged in their medical care than ever.Īnd there’s no doubt in anyone’s minds that technology has served as a key catalyst in driving this increased involvement. And this time, they’re focusing on the healthcare journey as a whole.Īs always, we’ll discuss the highlights below, and you can listen to the full podcast here: The evolution of the member journey If you’ve been reading our blog, you know in a recent podcast, Kevin Tierney of Future Healthcare Today was joined by Madison Goldfischer, Zelis Vice President and head of product for member empowerment, to unpack a recent member empowerment study from Zelis discussing what members expect from their plans and providers. in English and Writing from University of Denver, Kaitlin stays current on market updates on claims management and healthcare payments, publishing a regular educational blog series on industry trends and Zelis offerings. She has written and produced content for Zelis, Waystar, and Recondo Technology, as well as agencies. Kaitlin Howard is a researcher and writer producing insightful content across the healthcare revenue cycle.
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