Revolutionizing healthcare: A how-to for payer digital transformation success

In brief Complex healthcare communications cause member confusion and payer inefficiencies. Simplifying products, standardizing documents and using AI/automation can improve operations and satisfaction. Digital transformation enables personalized care and proactive member guidance through integrated data. Healthcare communications have become increasingly complex, creating challenges for both payers and group members. As a simple example, consider a member’s frustration upon receiving an 18-page bill for a hospital visit in which only two pages contain relevant information – and there is no clear way to know where that information can be found. Outdated systems and inefficient processes slow down payer operations and impact customer experience in a significant way. This is not a hypothetical problem: fully 85% of healthcare consumers consider communication highly important to their experience and 66% would consider switching providers due to poor communication . There are significant competing technology priorities for insurers impacting their ability to invest in better experiences for their insureds. As an example, in the wake of major security breaches many payers are dedicating over 7% of their IT budgets to cybersecurity . These and other areas of focus result in the average healthcare organization relying on nearly 976 different software applications, many of which […]

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