Thoughts from the Road

Bridging the Gap: How Payers Can Provide Benefit Plans that More Closely Align with Consumer Expectations to Increase Member Satisfaction

Consumers are increasingly seeking health benefit plans that align with their individual needs and aspirations for a healthier lifestyle. However, health plans are struggling to deliver benefits and health coverage that truly meet the desires of their members, resulting in low member satisfaction scores. This is evident in a recent AIS Poll where 35% of

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The Simplicity of Complexity

Enrollment in D-SNPs continues to rise, and with the changes CMS announced in its 2023 Final Rule, plans have clearly focused on improving cost and quality of care for those eligible for both Medicare and Medicaid. But even with these improvements, 44% of Dual Eligibles switched plans for 2023, which creates burden for both the

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Never Cede Your Home Field Advantage

Mid-sized, regional health plans generally flourish in the local markets they serve. But increasingly, the top five U.S. health insurance companies bring the strength of their sizeable technological capabilities, resources, and marketing muscle to the battle for market share. As these giants pump substantial capital into innovation – like digital capabilities, value-based care, wellness, analytics,

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