The No Surprises Act places new emphasis on provider data accuracy, and more specifically, capturing provider attestation every 90-days. While most plans have some process around this today, the increased emphasis on data accuracy and potential fines are driving a closer look at how payer and providers can partner to meet mandates.

In the latest ebook, get perspectives from Becker’s Payer Issue Roundtable participants and tips for how to translate mandate requirements into a better experience for members.

– 4 in 10 consumers have found inaccurate doctor information on their health plan website^[1]

– 67% of health plan execs want to collaborate with providers more in 2023^[2]

“We’re all in this boat together. Get together and talk about what’s working and what’s not.” – Reetika Kumar^[3]

The research is clear: Health plans know they can’t deliver on their top priorities without help. Provider collaboration is already happening behind the scenes on prior authorizations and new models of care. But there’s an immense untapped opportunity to take it further to positively impact member experiences and support health plan growth.

Payer-provider collaboration is critical to improving health outcomes, cost of care, and the overall patient experience. New legislation is arming members with access to information on cost, which means they have more tools at their disposal to be proactive in selecting care. This has also created an opportunity for plans to ensure that doing so is a good experience.

It’s time to take bold steps to make that collaboration a reality. Dig into this new research report, sharing the perspectives of 200 health plan executives, to better understand the key areas for collaboration to help members find, estimate, and access care.

A Look at How the Top 20 US Health Systems Enable Consumers to Find and Schedule Care Online

Digital access is critical for patient acquisition and retention as demand for online self-service continues to rise. However, an analysis of the top 20 US News and World Report-ranked health systems’ websites reveals that significant opportunity remains to optimize the care search and scheduling experience.

Key Insights Include:

• Less than half of the top health systems offer online scheduling for new patients
• Just over 1/3 offer mobile apps that enable scheduling for consumers
• Only one health system shows appointment availability in search results

For additional insights and new recommendations for how to optimize your find-a-provider experience, download the full assessment.

While health plan price transparency mandates have the right intentions to give people personalized cost estimates, the letter of the law does not ultimately deliver what health plan members really need to better navigate healthcare.

Today, health plan members are stressed about costs, unable to pay medical bills, and avoiding care. New research found that 58% of consumers ages 25-44 avoided care due to unknown costs—and the majority (72%) actually took the time to search for cost information. Why the gap?

Download this new eBook to gain data and insights into how to educate and engage members to drive behavior change.

Do incentive and rewards programs work to help drive healthcare shopping? Based on a survey of more than 1,000 health plan members, the answer is yes. This research shows that people will take action and change behavior based on rewards. Findings include:

• 72% would change a surgery location for a $250 reward.
• 72% are willing to switch to a recommended imaging services provider for just $25.
• 66% are willing to drive up to 20 miles away to see a rewardable provider.

Download the white paper now by filling out the form below!

Managing healthcare costs is at the front of most Medicare Advantage members minds, yet avoiding care has long-term impacts. Access new research that dives deeper into what Medicare Advantage members really want and insights on how to engage and motivate your beneficiaries to get the care they need.

Discover new insights, including:

• More than half of Medicare Advantage members wish their plan offered more in-depth provider profiles.
• 79% want access to reviews to learn from other patients.
• Two-thirds want help from their health plan to find care or a new provider.

Collaboration between plans and their provider networks has moved from an ideal to an imperative with both health plans and providers realizing there is a mutual need to help each other create a better experience for people.

This survey of 100 hospital and health system executives looks at collaboration and the current challenges facing the industry. Findings offer new insights to help health plans maximize their provider relationships and find ways to work together to benefit members and patients:

• 92% of providers want greater collaboration with health plans.
• 98% of hospitals and health systems would find it valuable for patients to schedule appointments with their providers right from your provider directory.
• Providers believe increased collaboration with health plans will enhance the patient experience (49%), improve the health of their patients (18%), lower the cost of care (17%).

This new report offers insights into preferences and behaviors related to selecting healthcare providers, as well as how discrimination shapes interactions and experiences in healthcare. The survey of 1,000 Americans concentrated on inclusion of women, people of color, non-native English speakers, and those who identify as LGBTQ.

Key findings include:

• One in four are extremely or very concerned about discrimination in healthcare due to their race or the language they speak.
• Nearly half of people who identify as LGBTQ feel they have been discriminated against based on sexual orientation.
• Among African Americans who have experienced discrimination, 77% feel it was due to their ethnicity or race.
• Two-thirds of respondents reported having a doctor of the same gender. Shared race is also common.
• Six in ten respondents report using their health plan’s website to gather information on providers.
• The characteristics deemed important for a PCP differ from those sought after in a specialist.