The Becker’s Healthcare Fall Roundtable is in the books! Our team was thrilled to connect with top healthcare executives from around the industry for an enlightening discussion focused on the future of care delivery.
The conversation was far-reaching, touching on topics including health plan growth, health equity, emerging trends, value-based care and more. But one key trend emerged: the continued desire to reduce administrative costs in an effort to increase investments in member satisfaction and building strong provider relationships.
What does that look like in practice? Below are three key focus areas that were dominant topics of discussion at Becker’s.
Health equity
Health plans continue to prioritize and develop health equity, typically with a focus on member data collection. But there’s another side of the equation that many organizations should also consider: new (optional) NCQA guidelines calling for more of a focused effort on capturing provider demographic information.
This new guideline has the potential to profoundly shift the member-provider dynamic; if members can count on providers to not only deliver the care they need but relate to those needs on a deeper, more personal level, it has the potential to positively impact care outcomes and increase patient satisfaction. As the need for more comprehensive data capture grows, Verifiable can help health plans cultivate that information as part of a given provider profile — and empower health plans to deliver high-quality and more personalized care.
AI, data readiness, and privacy
Progress doesn’t always inspire confidence: when it comes to member-facing AI, health plans still have a lot to consider regarding privacy, accuracy, bias, and standardization. Even moving beyond those key sticking points, some are unsure if their data is ready for AI implementation or if they have the infrastructure in place to support such an investment.
However, health plans can continue to look to automate tasks with AI as they navigate the risks for front office use cases. There’s still an enormous opportunity to apply AI towards processes that are actively calling out to be automated and have the capacity to improve decision making. Processes that are typically resolved manually like credentialing stand to benefit from automation in ways that other legacy processes simply don’t; if the goal is to operate more efficiently, there are few areas more likely to yield a positive result so quickly.
Product design for health plan growth and outcomes
Rethinking product design to attract and retain members provides health plans with significant growth opportunities. Designing products that meet members’ needs is clearly a top priority, and encouraging health plans to go back to basics in an effort to drive improved health outcomes. But the quality of care members receive can only be as strong as the network they get to choose from.
To complement new benefit designs and offer members superior care, there’s an additional opportunity for health plans to consider how investing in credentialing solutions help quickly build networks and improve downstream data accuracy for directories. Verifiable’s integration with Salesforce empowers health plans to streamline the provider onboarding process and connect network data with specific products, leading to a more seamless member care journey experience.
Looking for ways to optimize networks for better member outcomes, while lowering costs?
Verifiable partnered with Humana to reduce credentialing turnaround times up to 98% on Salesforce and help them achieve immediate seven-figure savings — all while ensuring member access and improving provider satisfaction.
Want similar results for your health plan? Book a demo now.
