Kyruus Health, Author at Kyruus Health https://kyruushealth.com/author/marketing/ The Care Access Platform Thu, 10 Oct 2024 14:02:17 +0000 en-US hourly 1 https://wordpress.org/?v=6.6.2 https://eh6327rse7k.exactdn.com/wp-content/uploads/2024/01/cropped-android-chrome-512x512-1.png?strip=all&lossy=0&resize=32%2C32&ssl=1 Kyruus Health, Author at Kyruus Health https://kyruushealth.com/author/marketing/ 32 32 Provider Data Management: The Key to Health Plan Success https://kyruushealth.com/health-plan-provider-data-management-foundation-of-success/ Thu, 10 Oct 2024 14:01:59 +0000 https://kyruushealth.com/?p=460941 The healthcare industry is rapidly evolving, and with it, the complexity of managing provider data has grown immensely. For health plans, the accuracy and consistency of provider information directly impacts...

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The healthcare industry is rapidly evolving, and with it, the complexity of managing provider data has grown immensely. For health plans, the accuracy and consistency of provider information directly impacts member experience, access to care, regulatory compliance, provider collaboration, and operational efficiency. Yet, despite the increasing focus on data management, the challenge remains considerable. A staggering 81% of provider directory entries still contain inconsistencies, according to a study published in the Journal of the American Medical Association. This discrepancy not only compromises member satisfaction but also leads to significant financial consequences for health plans.

In this blog, we’ll explore the critical importance of provider data management for health plans, the tangible impact it has on their financial health, and the strategies needed to overcome common challenges. By the end, it will be clear that effective provider data management is not just a regulatory obligation but a powerful tool for improving member experience, reducing costs, and driving sustainable growth.

For additional insights, register for our upcoming webinar to hear from industry experts and discover strategies for transforming your provider data management approach.

The Business Impact of Provider Data Management

For health plans, provider data management influences five key areas that directly impact their bottom line:

  1. Member Experience
  2. Access to Care
  3. Regulatory Compliance
  4. Provider Network Collaboration
  5. Operational Efficiency

Each of these elements plays a vital role in a health plan’s overall success, and all are dependent on the quality of provider data. Let’s examine how accurate provider data influences each of these factors and how it can drive measurable improvements for health plans.

1. Provider Data Management Enhances Member Experience

Kyruus Health Provider Data Management Enhancing Member ExperiencesMembers look to their health plans for accurate, timely, and detailed information about healthcare providers. When they search for a provider through their health plan’s website, they expect to find up-to-date details on important factors like practice locations, languages spoken, years of experience, and treatment philosophy. Unfortunately, outdated or inaccurate information is a common problem, leading to frustration and dissatisfaction among members.

A recent survey revealed that 62% of members want more accurate information from their health plans, and this need is even more pronounced among younger generations. 70% of Millennials and 64% of Gen Z members expressed a desire for more detailed provider profiles.

The consequences of poor provider data are significant: members may leave their health plan, seek care outside their network, or delay care altogether. In contrast, providing accurate and comprehensive information builds trust between members and their health plans, encouraging them to stay within the network and take advantage of the care options available to them. This translates into higher retention rates and increased member satisfaction, both of which are critical for financial success.

For instance, health plans that offer enhanced provider profiles have reported a 114% increase in member interactions compared to those with non-enhanced profiles. This demonstrates the powerful impact that well-managed provider data can have on member engagement.

2. Provider Data Management Improves Access to Care

Kyruus Health Provider Data management improves access to careAccurate provider data doesn’t just improve member experience—it also plays a critical role in ensuring that members can access in-network care. When provider directories contain outdated or incorrect information, members are more likely to seek care outside of their network, leading to higher out-of-network claims and increased healthcare costs for both the plan and the member.

In fact, 18% of inpatient admissions and 8% of outpatient services involve an out-of-network provider claim, each adding an average of $350 in costs per encounter. Even more concerning, 70% of members who faced unaffordable out-of-network medical bills were unaware that their provider was out-of-network until after receiving care.

By investing in accurate, up-to-date provider data, health plans can help members avoid these costly surprises. Additionally, integrating features like online appointment scheduling, which relies on accurate provider data, allows members to easily book in-network care, further reducing the likelihood of out-of-network claims.

3. Provider Data Management Ensures Regulatory Compliance

Kyruus Health Provider Data Management ensures regulatory complianceThe regulatory landscape surrounding provider data management has become increasingly stringent in recent years. Legislation such as the No Surprises Act and the proposed REAL Health Providers Act requires health plans to verify the accuracy of their provider directories regularly and remove any outdated or incorrect information.

Failure to comply with these regulations can result in significant penalties. For example, health plans must now verify provider data quarterly and correct discrepancies within two days. Under the proposed REAL Health Providers Act, health plans must remove providers who are no longer in-network within five business days. Non-compliance could lead to steep fines and damage the health plan’s reputation.

However, compliance isn’t just about avoiding penalties. Health plans that proactively ensure their provider data is accurate, accessible, and understandable to members are better positioned to build trust and foster positive member experiences. By going beyond the minimum requirements of the law, health plans can differentiate themselves in a competitive marketplace while also reducing their risk of financial penalties.

4. Provider Data Management Improves Provider Network Collaboration

Kyruus Health Provider Data Management improves collaborationCollaboration between providers and health plans is essential for maintaining accurate provider directories. Providers rely on health plans to ensure their information is represented accurately, but they often encounter challenges like inconsistent submission requirements and cumbersome processes for updating their details. As a result, only 20% of providers feel confident that their health plan directories accurately represent their facilities and staff.

Health plans can improve this situation by streamlining the process for providers to update their own information. Implementing user-friendly tools and systems for providers to submit updates can significantly improve data accuracy and reduce the administrative burden on both providers and the health plan. By investing in these solutions, health plans can foster stronger relationships with their provider networks, leading to more accurate and comprehensive directories.

5. Provider Data Management Leads to Operational Efficiency

Provider Data Management Leads to operational efficiencyManaging provider data is a resource-intensive process, often requiring substantial time and labor for manual updates. Health plans that rely on outdated or inefficient systems for managing provider information may find themselves constantly struggling to keep up with changes, leading to higher administrative costs and operational inefficiencies.

A centralized data management system, supported by automated workflows, can significantly reduce the burden of manual data updates. Such a system ensures that updates are reflected consistently across all channels, from member-facing directories to internal systems used by customer service agents. This not only improves the accuracy of provider data but also enhances operational efficiency, freeing up resources that can be redirected toward more strategic initiatives.

Key Strategies for Effective Provider Data Management

To successfully manage provider data and realize the benefits outlined above, health plans should consider implementing the following strategies:

  • Centralize Provider Data: Establish a centralized data repository to maintain uniformity and accuracy across all channels.
  • Regular Verification: Implement regular verification processes to ensure provider information is current and compliant.
  • Enhanced Provider Profiles: Offer detailed, up-to-date provider profiles that meet member expectations for comprehensive information.
  • Provider-Friendly Tools: Develop tools that allow providers to easily update their own information, ensuring accuracy and reducing administrative burdens.
  • Online Scheduling: Integrate online scheduling functionality to improve access to care and reduce out-of-network claims.
  • Automated Data Management: Leverage advanced technologies to automate data management processes, enhancing efficiency and reducing costs.

Conclusion: Why Provider Data Management is a Business Imperative

Effective provider data management is no longer a luxury for health plans—it is a necessity. Accurate, timely, and comprehensive provider data drives improvements in member experience, access to care, compliance, provider collaboration, and operational efficiency. Health plans that prioritize provider data management will not only reduce costs and avoid penalties but also position themselves for long-term success by building trust with their members and providers.

By investing in robust provider data management solutions, health plans can unlock the full potential of their provider networks, improve member satisfaction, and drive measurable financial benefits. For those ready to take the next step, Kyruus Health offers innovative provider data management solutions designed to meet the unique needs of health plans and deliver a clear return on investment. Contact us today to learn more.

To dive deeper into these topics, register for the upcoming webinar hosted by AHIP, “From Data to Action: Transforming Provider Data into Enhanced Member Experiences.” This session will explore real-world applications of advanced provider data management techniques and their impact on health plan operations and member experiences.

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Launching Reach to Enhance Online Presence, Drive Appointments and Patient Acquisition https://kyruushealth.com/kyruus-health-launches-reach/ Wed, 09 Oct 2024 13:10:06 +0000 https://kyruushealth.com/?p=460917 The post Launching Reach to Enhance Online Presence, Drive Appointments and Patient Acquisition appeared first on Kyruus Health.

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BOSTON, MA – OCT. 9, 2024 – Kyruus Health, the leading care access platform, announced the launch of Reach, a listings management solution designed to help health systems, hospitals, and medical groups to extend their brand’s reach, drive appointments, and increase patient acquisition.

Kyruus Listings Management

As the healthcare landscape becomes more complex, organizations face mounting challenges in maintaining accurate information across digital platforms. Reach addresses these issues by providing a centralized, automated solution for managing provider, location, service, and scheduling details across online directories and search engines through its integration with Kyruus Connect. This solution improves visibility, ensures consistency, and enhances patient engagement to support retention and acquisition efforts.

Reach syndicates provider and location data across major digital listing sites, as well as the proprietary Kyruus Health network, which includes over 100 health plan brands, care navigation organizations serving employers, and the United States Department of Veterans Affairs (VA). Reach will continue to expand its impact in 2025 across additional high-traffic platforms, including the ability to manage reviews and ratings within and across them.

Other key features include:

  • SEO Optimization: Enhance search rankings to make provider and location listings easily discoverable by potential patients.
  • Business Profile Management: Ensure up-to-date and optimized listings on leading search platforms.
  • Automate the Management of Listings: Sync provider and location updates automatically to reduce administrative burdens.

“As healthcare organizations increase their investment in digital advertising, many struggle with fragmented vendor landscapes and inconsistent provider data,” said Lesley Weisenbacher, Senior Vice President of Marketing at Kyruus Health. “Kyruus Health is already recognized as the leader in provider data management, so Reach is a natural extension of our offerings. By leveraging Kyruus Connect, Reach enables healthcare organizations to enhance visibility and growth in a digital-first world, ensuring patients can easily find the care they need.”

Crafted from Kyruus Health’s extensive experience in provider data management, this platform is specifically designed to meet the unique needs and nuances of the healthcare industry. Reach promotes effective use of data, allowing healthcare organizations to consolidate vendors and cut costs.

For more information about Reach, please visit KyruusHealth.com/Reach or schedule time to connect with the Kyruus Health team at SHSMD next week to learn more.

About Kyruus Health

Kyruus Health is the leading care access platform on a mission to connect people to the right care. The company connects 425,000 providers across more than 1,000 hospitals and 500 medical groups, and more than 150 million health plan members across 100 health plan brands, so every stakeholder can access and harness the most accurate, comprehensive, and contextually relevant information. By enabling informed decisions and confident action, the care access platform supports healthier outcomes, reduces friction in healthcare, and grants more time back in everyone’s day. To learn more, visit KyruusHealth.com or follow us on LinkedIn.

Media Contacts

Jeff Rusack
Media Relations Manager, KNB Communications
kyruushealth@knbcomm.com

Ashley Dauwer
Corporate Marketing and PR Manager, Kyruus Health
adauwer@kyruushealth.com

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The Power of SMS for Healthcare Providers: Improving Communication and Efficiency https://kyruushealth.com/the-power-of-sms-for-healthcare/ Tue, 08 Oct 2024 19:55:05 +0000 https://kyruushealth.com/?p=460913 In today’s fast-paced digital world, effective communication has become crucial for success in any industry. This is especially true in the healthcare sector, where clear and timely communication between patients...

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In today’s fast-paced digital world, effective communication has become crucial for success in any industry. This is especially true in the healthcare sector, where clear and timely communication between patients and provider staff can have a significant impact on the overall quality of care. With the increased reliance on mobile technology, SMS for healthcare has emerged as a powerful feature for provider organizations to enhance patient communication, lower staff time spent on phone calls, and ultimately improve patient satisfaction.

According to a study by Consumer Affairs, 97% of Americans own a mobile phone, and spend an average of 4 hours and 30 minutes on their phones each day. This makes reaching patients in their phone’s native SMS function an ideal platform for healthcare staff to increase engagement. Healthcare staff carry the same consumer expectations, preferring to communicate digitally with patients.  In a recent Kyruus Health research study, our team found that 88% of front office staff at medical group and mid-level hospitals found two-way communication tools important for their day-to-day tasks. Let’s explore the benefits of SMS-based patient communication and why it should be a top priority for provider organizations.

Instant and convenient communication

Unlike traditional methods of communication such as phone calls or emails, SMS for healthcare solutions offer instant and convenient communication. With just a few taps, staff can send appointment reminders, collect outstanding balances, and other important updates to patients. This not only saves time for both parties but also eliminates the need for patients to remember to check their emails, voicemail, or patient portal for important information. In fact, a study by the Journal of Medical Internet Research found that 70% of patients preferred receiving appointment reminders via text message over other forms of communication.

Increased engagement and patient satisfaction

Effective communication is a crucial component of patient engagement, which is essential for improving patient outcomes. A study by the Journal of Medical Internet Research found that patients who received text message reminders were more likely to attend their appointments and follow their treatment plans, resulting in improved health outcomes. Additionally, SMS for healthcare allows patients to ask questions, provide feedback, and request refills or appointments easily, leading to increased patient satisfaction.

When taking a step outside of the healthcare industry, SMS marketing statistics for USA businesses tout that 95% of text messages are read and responded to within 3 minutes of being received. Additionally, the average open rate for an SMS campaign is 9%, 5x that of email (20%). It is almost guaranteed that any SMS message will be received and read. The effectiveness of SMS for healthcare can surely mirror that of other businesses to meet consumers where they are while driving increased engagement and satisfaction for provider organizations.

Cost-effective and time-saving

SMS for healthcare solutions are not only convenient but also cost-effective for provider organizations. Traditional methods of communication, such as phone calls, can be time-consuming and require additional staff resources. The last thing front office staff need is a room line full of patients waiting to be attended to while they are patiently waiting for a patient to answer the phone call —that ultimately gets sent to voicemail.

On the other hand, text messages can be automated and sent in bulk, reducing the time and resources needed for patient communication. SMS for healthcare solutions can allow staff to send alerts to all patients with an appointment that day to use an alternate entrance due to utility work, or remind everyone that hasn’t seen their primary care provider in over a year to schedule their annual exam. These methods of bulk sending, known as broadcast messaging and health campaigns allow staff to focus on other important tasks that ultimately saves money for the organization.

SMS for healthcare provides compliance with HIPAA regulations

Patient privacy and confidentiality are of utmost importance in the healthcare industry. With the rise of digital communication, it is crucial for provider organizations to comply with HIPAA regulations. Fortunately, SMS-based communication platforms offer secure messaging options that are compliant with HIPAA regulations. This ensures that patient information remains private and secure, providing peace of mind for both patients and provider staff.

It is difficult to argue that effective patient communication is vital for the success of any provider organization. SMS-based communication not only offers convenience and cost-effectiveness but also improves patient engagement and satisfaction. With the use of mobile technology not going anywhere in the foreseeable future, utilizing SMS-based communication in healthcare is a no-brainer. By incorporating this tool into their communication strategy, provider organizations can enhance patient communication, leading to better patient outcomes and overall success.

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AHIP CX Recap: Empowering Mental Health Care Access with Actionable Tools https://kyruushealth.com/mental-health-care-access/ Fri, 04 Oct 2024 17:28:52 +0000 https://kyruushealth.com/?p=460899 The post AHIP CX Recap: Empowering Mental Health Care Access with Actionable Tools appeared first on Kyruus Health.

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The wonderful city of Nashville, Tennessee, hosted AHIP’s 2024 Consumer Experience and Digital Health Forum. It was an opportunity to learn about digital health best practices and the shifting care delivery landscape. With over 50 interactive sessions, attendees gathered insights that could help them and their organizations deliver personalized care and improve health outcomes. One of those sessions discussed mental health care access and included Koleen Cavanaugh, the Senior Vice President & Chief Marketing Officer of Independence Blue Cross; Cynthia Grant, PhD, LCSW, MBA, the Head of Clinical Excellence of Grow Therapy; and Brandon Spring, the Chief Revenue Officer of Kyruus Health.

The panel discussed the complexity of navigating the healthcare system, especially when it comes to behavioral healthcare. And how digital transparency tools play a critical role in improving healthcare access. They emphasized the importance of removing barriers, empowering patients, and simplifying the often burdensome process of scheduling appointments and accessing care.

The Challenge: A “Sick Care” System

A recurring theme was the growing strain on the primary care system, where patients with mental health needs often seek help. These professionals, however, frequently lack the resources and time to adequately address behavioral health issues, which only exacerbates the problem. With long wait times and a shortage of specialists, many individuals delay seeking care until they are in crisis. This leads to what is sometimes called a “sick care system” rather than a proactive healthcare system focused on prevention and early intervention. All panelists agreed that technology can help deliver more access to care.

“This has been something that has plagued our profession for decades and it is both something that is perceived and felt by patients that are seeking care as well as providers who have a desire to be able to get someone matched for services.”

–Cynthia Grant, Head of Clinical Excellence, Grow Therapy

Empowering Patients Through Digital Tools

To address these challenges, Independence Blue Cross and Grow Therapy have been integrating digital tools that make it easier for patients to access mental health services. One tool both organizations agree is pertinent to increasing behavioral care access is enhanced provider directories. These directories enable patients to schedule mental health appointments with just a few clicks. It also allows patients to not only see who is available for virtual or in-person care but also provides detailed information about providers, including their specialty, language spoken, and availability.

The simplicity of the user interface aims to meet modern patient expectations, especially among younger generations who are accustomed to making reservations or appointments online for almost every aspect of life. And when more people know about these virtual options for care, the more likely they are to access them.

“When the pandemic hit, we sent a message out to our membership just to create awareness of benefits for virtual behavioral health care. And in one week’s time, from that message going out, we saw a 1000% increase in people booking online behavioral health visits. And while we didn’t see that same pattern with traditional health care, that behavioral health has continued. People like the access to virtual behavioral health.”

-Koleen Cavanaugh, Senior Vice President and Chief Marketing Officer, Independence Blue Cross

The Future: Seamless Integration for Improved Access

The discussion closed with optimism. While the complexity of behavioral healthcare, especially when dealing with access to care, will always present challenges, integrating digital tools and collaboration between health systems, payers, and technology companies offers a path forward. Partnerships like these are streamlining processes, making provider directories more accurate, and giving patients the tools they need to take charge of their health and ensure they are choosing the right care.

 

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AI-Powered Search and Provider Data Solutions to Simplify and Improve Member Experience https://kyruushealth.com/ai-powered-search-provider-data-solutions-member-experience/ Tue, 17 Sep 2024 07:57:17 +0000 https://kyruushealth.com/?p=460808 The post AI-Powered Search and Provider Data Solutions to Simplify and Improve Member Experience appeared first on Kyruus Health.

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BOSTON, MA – SEPT. 17, 2024 – Kyruus Health, the leading care access platform, today announced the launch of two products for health plans; Guide, a conversational AI search experience, and Provider Data Solutions, a provider data management and attestation solution. In combination, these solutions are designed to help health plans use their provider data to deliver a better member experience while helping to connect members to the right care.

Improving Member Experiences with Conversational AI Search

Built upon foundational large language models, Guide utilizes natural language processing and generative AI to create a seamless and intuitive experience for members seeking care. The solution leverages Kyruus Health’s expertise in supporting over 1 billion searches for care and helps members select a provider that best fits their medical and personal preferences by offering digestible definitions of clinical specialties and medical terminology.

“People are looking for guidance in navigating their care options but complex filters, clinical jargon, and multiple clicks can be overwhelming and create barriers,” said Peter Boumenot, Chief Product Officer at Kyruus Health. “Conversational search streamlines the experience, making it easier and faster for people to find the care they need and even schedule appointments—all within a single, frictionless experience.”

Guide and Provider Data Solutions are the newest additions to Kyruus Connect for Payers, the care access platform that unifies data to streamline provider search, drive member engagement, and guide people to make informed care choices—all while advancing your organization’s growth and compliance goals.

Enhancing Provider Data for Health Plans

With provider information scattered across multiple databases, tools, and processes, maintaining a unified and accurate data source for health plans is costly and difficult. According to the Gartner® Hype Cycle™ Report, “Payers experience increased consumer and provider satisfaction as well as better financial results and operational efficiency when operating with more accurate provider data. Improved claims payment performance—including lower denial rates and improved financial reconciliation—are an example of a function improved by better provider data. Additionally, provider data management (PDM) tools reduce the risk of state and federal regulatory penalties for poor provider directory data quality.”

Kyruus Health’s Provider Data Solutions improve data quality through the ingestion, curation, and cleansing of data from various sources, building on the compliance and attestation capabilities launched through Validate. The result is a single, trusted source of truth of provider data that is more convenient and reliable across all access points. Kyruus Health payer customers are already experiencing the difference with enhanced provider profiles, with increases in member interactions of up to 114%.

In addition to better data quality and richness, 92% of consumers also express interest in scheduling appointments online according to the 2024 Care Access Benchmark Report for Health Plans,. To fill this need, Kyruus Health’s Provider Data Solutions also enable health plans to collect and display availability and appointment scheduling information, driving better member engagement and closing gaps in care.

“As a foundation for innovative technologies like Gen AI, accurate and reliable provider data is critical,” said Harshit Shah, Chief Technology Officer of Kyruus Health. “With Kyruus Health’s Provider Data Solutions, we meticulously manage and optimize provider data, enhancing its accuracy and trustworthiness, which paves the way for more meaningful AI-powered interactions and a superior member experience.”

If you’ll be at AHIP 2024 Consumer Experience & Digital Health Forum from Sep 24 – 26, 2024 in Nashville, TN, schedule time to meet with the Kyruus Health team.

Gartner, Hype Cycle for U.S. Healthcare Payers, 2024, By Mandi Bishop, Austynn Eubank, Connie Salgy, 29 July 2024. 
Gartner and Hype Cycle are registered trademarks of Gartner, Inc. and/or its affiliates in the U.S. and internationally and are used herein with permission. All rights reserved.

About Kyruus Health

Kyruus Health is the leading care access platform on a mission to connect people to the right care. The company connects 425,000 providers across more than 1,000 hospitals and 500 medical groups, and more than 150 million health plan members across 100 health plan brands, so every stakeholder can access and harness the most accurate, comprehensive, and contextually relevant information. By enabling informed decisions and confident action, the care access platform supports healthier outcomes, reduces friction in healthcare, and grants more time back in everyone’s day. To learn more, visit KyruusHealth.com or follow us on LinkedIn.

Media Contacts

Jeff Rusack
Media Relations Manager, KNB Communications
kyruushealth@knbcomm.com

Ashley Dauwer
Corporate Marketing and PR Manager, Kyruus Health
adauwer@kyruushealth.com

The post AI-Powered Search and Provider Data Solutions to Simplify and Improve Member Experience appeared first on Kyruus Health.

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Winning and Retaining ASO Business in the Digital Era: Leveraging Technology for Growth https://kyruushealth.com/winning-and-retaining-aso-business/ Wed, 14 Aug 2024 15:27:34 +0000 https://kyruushealth.com/?p=460490 The goal with these events is to help health plan leaders understand the needs of their members on a more personal level. They can then take these perspectives into account as they work to address price transparency mandates and build member experiences that empower people to take more control of their healthcare spending.

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The healthcare industry is undergoing a significant transformation driven by digital innovation. Health plans that embrace this change are better positioned to win and retain self-insured (ASO) employer groups. Key insights from the ebook, A Comprehensive Guide to Winning and Retaining ASO Business, include:

  • Embracing the importance of digital transformation as an ongoing journey
  • Prioritizing member and employer needs
  • Leveraging data for decision-making
  • Forming strategic partnerships with technology vendors. 

These strategies help health plans create personalized, consumer-grade experiences that drive engagement, satisfaction, retention, and ultimately, ASO business.

Bridging the Gap Between Employer Needs and Member Preferences

The first step towards success with employer groups is to fully understand the needs of both members and employers, who often have differing needs and priorities when it comes to digital health tools. Health plans must shift from a one-size-fits-all approach, to a more tailored strategy that addresses individual preferences and requirements. This involves collecting and analyzing data to inform decision-making processes, ensuring that every initiative is backed by solid evidence and is likely to result in enhanced satisfaction. 

Employers often focus on cost savings, utilization management, and population health initiatives, while members prioritize convenience, personalization, and access to relevant information. To bridge this gap, health plans must develop solutions that address the unique needs of both audiences. The consequences of poor digital experiences can be significant. Members may lose trust and confidence in their health plan and employer groups, who are hearing from frustrated employees, will turn to competitors for better results.

Strategies for Continuous Innovation

To keep pace with rapid technological advancements and consumer expectations, health plans must adopt a two-speed approach to innovation. This involves investing in long-term infrastructure while delivering quick wins through smaller, iterative improvements. By balancing the need for long-term transformation with the demand for short-term results, health plans can ensure their digital investments remain relevant and competitive.

Agile methodologies, such as Scrum and Kanban, provide a framework for rapid iteration and continuous improvement. By breaking down large projects into smaller, manageable tasks, health plans can quickly test and validate new ideas, gather feedback from users, and make necessary adjustments. This iterative approach ensures that digital tools are developed with the end user in mind, resulting in more engaging and user-friendly experiences.

Leveraging Data for Decision Making

Data is a critical asset in driving innovation and ensuring digital tools meet the needs of members and employers. By analyzing user behavior, engagement patterns, and health outcomes, health plans can gain valuable insights into what works and what doesn’t. This data-driven approach informs product development, marketing strategies, and the overall digital transformation roadmap.

The Role of Strategic Partnerships

Attempting to build complex digital platforms from scratch can divert valuable resources away from health plans’ core competencies and delay time-to-market. Partnering with proven vendors accelerates the digital transformation journey and mitigates risk. These vendors bring specialized expertise, faster time to market, and continuous innovation, ensuring health plans stay ahead of the curve.

Choosing the Right Technology Partner

When selecting a technology partner, health plans should consider several guiding principles:

  • Commitment to Innovation: The vendor should have a proven track record of innovation and a commitment to staying ahead of the curve.
  • Flexibility and Scalability: The solution should be flexible enough to adapt to the health plan’s changing needs and scalable to accommodate future growth.
  • Security and Privacy: The vendor should have robust security measures to protect sensitive member data.
  • Product Features and Functionality: The solution should meet the health plan’s specific requirements.
  • Integration Capabilities: The solution should easily integrate with the health plan’s existing systems.
  • References and Case Studies: Other health plans’ experiences with the vendor can provide valuable insights.

A successful partnership between a health plan and a technology vendor is built on trust, transparency, and a shared commitment to achieving common goals. Both parties must invest time and resources in the relationship, communicate openly, and work together to overcome challenges. This collaboration creates a win-win scenario where both the health plan and the vendor benefit.

Creating a Seamless Member Experience with a Unified Ecosystem

Many health plans have accumulated a collection of point solutions over the years, each serving a specific purpose. However, this fragmented approach can be confusing and frustrating for members. To create a seamless member experience, health plans need to integrate these disparate solutions into a unified ecosystem. This can be achieved through single sign-on capabilities, API integrations, and centralized data repositories. By consolidating multiple point solutions into a single platform, health plans can simplify the member experience, reduce friction, and increase engagement.

Members also have different preferences when it comes to how they interact with their health plan. Some prefer self-service options like chatbots and online portals, while others prefer to speak with a live representative. To deliver a truly personalized experience, health plans must offer omni-channel support, allowing members to choose the channel that best suits their needs at any given moment. This means seamlessly integrating digital and human channels, such as chat, phone, email, and in-person interactions. By offering a variety of options, health plans can ensure that members receive the support they need, when they need it, in the way they prefer.

Key Takeaways

  • Digital transformation is not a one-time project but an ongoing journey.
  • Member and employer needs must be at the forefront of all digital initiatives.
  • Data is a critical asset that can inform decision-making and drive innovation.
  • Strategic partnerships can accelerate innovation and deliver world-class experiences.
  • Disparate solutions must be integrated into a unified ecosystem to create truly seamless member experiences.

The digital transformation of healthcare presents both challenges and opportunities for health plans. By embracing innovation, understanding the unique needs of employers and members, leveraging data, and partnering with the right technology vendors, health plans can unlock new growth opportunities and foster deeper engagement with their members and employer groups. 

To dive deeper into these insights and strategies, download A Comprehensive Guide to Winning and Retaining ASO Business and discover how your health plan can thrive in the digital age.

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League and Kyruus Health have partnered to create a unified digital experience for healthcare consumers. We allow consumers to manage benefits, find providers and see costs transparently, schedule appointments, and access personalized recommendations, all in one place.

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Top 3 Contactless Care Tools: Contactless Patient Intake, Online Patient Scheduling, & Digital Payment https://kyruushealth.com/popular-digital-health-tools-for-contactless-care/ Thu, 25 Jul 2024 13:49:24 +0000 https://kyruushealth.com/?p=460413 The post Top 3 Contactless Care Tools: Contactless Patient Intake, Online Patient Scheduling, & Digital Payment appeared first on Kyruus Health.

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Over the past decade, contactless care has become increasingly prominent in healthcare. While it might have sounded futuristic a decade or so ago, it’s an important component of healthcare consumerism. With the COVID-19 pandemic accelerating adoption of contactless technology in most consumer-facing industries, prospective patients are increasingly expecting to access and manage their healthcare through more convenient, contactless means.

What exactly is contactless care? Basically, it describes a patient experience delivered in a way that avoids unnecessary person-to-person contact. This type of care leverages digital technologies and tools to offer healthcare and health-related services for everything from appointment scheduling and contactless patient intake to virtual consult and online payment. 

Today’s patients expect a seamless experience, similar to that offered in industries such as retail and hospitality. They want healthcare services that are not only convenient but also enable them to connect with providers on their terms. 

Contactless care isn’t only a bonus for a lot of individuals — it’s a requirement. Many consumers are looking for expanded digital capabilities that enable them to complete more tasks online, at their convenience, with over 85% of consumers interested in making payments, completing pre-visit forms, providing insurance, and even alerting the front desk that they’ve arrived for a visit via digital means.

Many healthcare providers realize the benefits of contactless care, too. Roughly 93% of physicians believe these tools provide an advantage in their ability to care for their patients.

Promoting Patient and Staff Satisfaction

Contactless care offers many more benefits than just convenience. Along with meeting consumer demand for ease, access, transparency, and speed, it aids in mitigating crowded waiting rooms, high-touch areas, wait times, and unnecessary travel. 

Contactless care can even help improve health outcomes by delivering safe, timely, and consistent care that’s accessible and affordable. By putting patients at the center, it often drives higher levels of engagement and satisfaction. Additional advantages of contactless care include:

  • Fewer medical errors
  • Augmented patient safety
  • Improved patient-provider communication
  • Increased HIPAA compliance
  • Enhanced provider and staff productivity and satisfaction
  • Fewer repetitive administrative tasks
  • Enhanced patient loyalty and retention

How to Provide a Contactless Patient Care Journey

Patients should be able to experience a contactless patient journey, from pre-visit registration all the way to post-appointment payment. Medical groups utilizing the technology to produce this, however, are best served with tools that enable them to increase workflow efficiencies while meeting patient needs. 

The most popular digital health tools for contactless care are those that automate tasks before, during, and after a patient’s appointment. More patient control means less work for medical group staff. Prime examples of these tools are those used for appointment scheduling, check-in, and payment.

Online Patient Scheduling

Patient registration and appointment scheduling are the first and most important steps in a patient’s healthcare journey. A majority of patients prefer to have the resources available to schedule appointments, register, and check-in in a contactless manner through their smartphone, computer, or other mobile device.  

Approximately 40% of consumers now prefer to book appointments online. And, about 70% of patients are more likely to choose a medical group that allows them to book, change, and cancel appointments online. 

Why has the use of online scheduling grown so quickly? Only half of patients who call for an appointment are able to book an appointment over the phone on the first try. Scheduling via phone is also inefficient, taking eight minutes on average versus one minute online. 

Manually contacting patients to remind them of an upcoming appointment is certainly time-consuming. It also does little to minimize no-shows and cancellations or aid providers in improving the accuracy of their schedules.

Contactless Patient Intake

The manual check-in process isn’t only inconvenient, but it also leads to poor time management that results in longer wait times. Medical groups that offer digital check-in tools eliminate the need for physical patient intake tasks and minimize contact with individuals who are ill. 

During the contactless patient intake process, patients can update demographic information, verify their insurance information and medical history, acknowledge and sign consent forms, and complete questionnaires. Other benefits of using digital patient intake platforms are:

  • Improved patient satisfaction and engagement
  • Shorter wait times
  • Mitigation of medical errors
  • Alleviated administrative burden
  • Enhanced coordination of care
  • Improved HIPAA compliance
  • Curtailed operational costs
  • More reliable revenue 

Additionally, digital check-in technologies that integrate with electronic health records and practice management systems, increase front office bandwidth by automatically capturing patient information and populating it in real-time.

Digital Payment

Offering contactless technologies that enable patients to view and pay their bills digitally—including online, email, and text options—helps consumers feel in control over their finances and creates a better experience. In fact, 96% of consumers consider some sort of cost information when selecting a new provider or service, underscoring the value they place on transparent pricing. Maybe that’s why 78% of consumers want the COVID-19 pandemic’s prevalent contactless payment options to remain in place. 

Contactless payment options do more than keep a medical group’s front desk area cleaner for both patients and staff, they also increase front office employees’ efficiency and productivity. They also are safer than manual payment methods because they rely on credit cards with chips or mobile wallets. 

Kryuus Health offers end-to-end patient access and engagement solutions that enable patients to easily find and schedule care, complete pre-visit tasks, and meaningfully engage with their providers .Request information or schedule a meeting with our team to learn more!

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4 Ways to Reduce Staff Burden and Improve Patient Satisfaction https://kyruushealth.com/ways-to-enhance-the-productivity-of-medical-groups-front-office/ Thu, 18 Jul 2024 09:00:00 +0000 https://epionhealth.com/?p=457749 The post 4 Ways to Reduce Staff Burden and Improve Patient Satisfaction appeared first on Kyruus Health.

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In today’s fast-paced healthcare industry, optimizing the efficiency of front office operations is crucial for delivering exceptional patient care. From managing patient interactions to handling administrative tasks, front office staff play a pivotal role in patients’ satisfaction. Their care experience, when put into practice well, can help improve patient satisfaction for their organization.

Good customer service isn’t just for restaurants, retail, and banks. Consumers of healthcare are more selective than ever when it comes to who is providing their care. With the rapid emergence of healthcare consumerism, spurred in large part due to contactless care precipitated by the COVID-19 pandemic, patients aren’t stuck with a provider with whom they’re not satisfied.

Creating a Positive Experience to Improve Patient Satisfaction

A patient’s visit with their provider begins and ends at the front desk. This interaction can set the tone for the entire patient journey. It’s often an organization’s first chance to make a good—or bad—impression. 

Sounds easy enough, right? Make sure your front office staff is friendly and helpful to patients. Along with a high quality of care from the physician, your practice can improve patient satisfaction

There is a problem with this scenario. Unfortunately, it doesn’t take into account all the other tasks for which your front office staff is responsible. Along with patient registration and insurance verification, these team members typically have additional responsibilities. They must schedule appointments, answer phones, maintain records and accounts, retrieve patient records, collect payments, handle referrals, and much more.

Friendly and efficient frontend operations can increase practice revenue and also improve satisfaction for both providers and their staff. That’s why we’ve compiled a list of four ways to enhance the productivity of your front office staff.

1. Conduct Regular Staff Training

Your front office staff can’t stick to best practices if they’re not aware of them. That’s why you should regularly train them on the steps, policies, and protocols used to run your practice. Ensure that they don’t have to rely on guesswork. Clearly define each staff member’s responsibilities, and provide them with the tools necessary to fulfill them. Some organizations utilize a daily checklist. 

One of the most important aspects of proper staff training is the relevance of software and systems. While this includes electronic health records (EHR), it’s any software or systems that the frontend uses in their duties. By providing comprehensive training, healthcare organizations can help their staff become proficient in using these tools and technologies, which can lead to increased efficiency and accuracy.

2. Offer Patient Self-Scheduling

As we discussed in a recent blog, patient self-scheduling offers myriad advantages for healthcare providers, including labor savings, cost reduction, increased patient satisfaction and engagement, improved care management and adherence, and more. It allows front office staff to focus on other high-value activities, helps the practice fill same-day appointments, and prevents overbooking by providing a clear view of available time slots. 

In addition to promoting a positive patient experience by offering convenient 24/7 access to available appointments, patient self-scheduling can reduce the call volume for front office staff. One study found that front office staff spend an average of 8 minutes on the phone with each patient who calls in looking to schedule an appointment. When this is the only method available to patients who are looking to schedule, the phone lines can quickly become overwhelming.

3. Utilize Appointment Reminders

Manually contacting patients to remind them of an upcoming appointment is certainly time-consuming. It also isn’t an easily scalable process and does little to minimize no-shows and cancellations. 

Automated appointment reminders enable providers to communicate with patients using their preferred method, whether that’s a text message, email, or phone call. It can prompt patients to reschedule using a digital health tool instead of just missing their appointment, saving time for both the patient and your front office staff. Plus, your team members can use that extra time to engage with patients in-office.

4. Implement Digital Patient Check-In

Automating administrative intake processes with digital patient check-in lowers the burden on your front office staff. How?  It puts documentation in your patients’ hands, thereby streamlining workflows, saving hundreds of staff hours, and reducing data entry errors. Patients can use a personal smartphone or tablet to verify their insurance, sign consent forms and authorization releases, verify or update clinical information, and more, all of which update in real-time with the patient’s electronic health record. No more manual data entry from a clipboard into the EHR for staff. 

For those patients who may not complete this information before their visit, consider going a step further and providing QR codes in the office waiting room, so that patients can still complete all of their pre-visit forms without causing overcrowding and long wait times at the front desk.

Enabling patients to use digital patient check-in not only decreases wait times, which tends to improve patient satisfaction, it also helps clinicians prepare for a visit sooner, so appointments can be more efficient.

Each of these best practices also aids your front office staff in reducing duplicative processes, mitigating healthcare waste, automating repetitive tasks, and organizing patient data for easier access. They also help to improve the efficiency of your team members without the need for additional staff. Such benefits are especially crucial as the healthcare labor shortage continues.

Schedule a meeting with one of our team members to learn more about how you can increase the productivity of your front office staff and improve patient satisfaction overall!

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XO Health Powers Provider Search and Improved Transparency with Kyruus Health https://kyruushealth.com/xo-health-powers-provider-search-and-improved-transparency-with-kyruus-health/ Tue, 16 Jul 2024 15:31:03 +0000 https://kyruushealth.com/?p=460385 The post XO Health Powers Provider Search and Improved Transparency with Kyruus Health appeared first on Kyruus Health.

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BOSTON, MA – JULY 16, 2024 – XO Health, an innovative health care services organization designed by and for self-insured employers, has announced a strategic partnership with Kyruus Health, the leading care access platform, to enhance its digital member experience. This collaboration aims to create a more unified healthcare journey for all stakeholders, including members, providers, and payers, with an anticipated go-live date of January 2025.

XO Health sought to address key challenges in providing its members with accessible and transparent healthcare information. To enhance its comprehensive and technology-driven approach, XO Health selected Kyruus Health for its directory and cost transparency tools. The partnership aims to deliver a brandable and user-friendly online search experience, making it easier for members to find and understand healthcare options.

“Kyruus Health’s advanced technology will empower XO Health’s members by providing clear, accessible information about their healthcare options and costs,” Rick Schneider, SVP, Digital Product, Intelligence and Engineering at XO Health said. “This transparency is crucial in helping our members make informed decisions and ultimately achieve better health outcomes.”

XO Health’s unique business model, which emphasizes next generation alternative payment models, requires flexible support. By integrating Kyruus Connect for Payers, XO Health will offer a seamless digital experience that includes provider search, cost transparency, quality scores, primary care selection, augmented provider data, appointment scheduling, and telehealth integration.

“The Kyruus Health solutions will complement our omnichannel approach to curated and guided care making the member experience more seamless, personalized, and supportive. Our goal is to ensure that all members receive the right care, via the right channel, at the right time and right price,” Howard Kraft, Chief Strategy and Innovation Officer at XO Health, highlighted. “This integration will significantly enhance our efficiency and service quality.”

This partnership between Kyruus Health and XO Health will provide needed support for companies to comply with cost transparency mandates, maintaining the companies’ accountability and building trust from their employees.

“We are thrilled to collaborate with XO Health, a health plan at the forefront of healthcare innovation,” Peter Boumenot, Chief Product Officer at Kyruus Health said. “Our shared vision of connecting people to the right care will drive member engagement, support informed care decisions, enhance overall transparency, and help XO Health grow their membership.”

Learn more about how Kyruus Health enables over 100 health plan brands to deliver unparalleled member experiences to 150 million members.

About Kyruus Health

Kyruus Health is the leading care access platform on a mission to connect people to the right care. The company connects 425,000 providers across more than 1,000 hospitals and 500 medical groups, and more than 150 million health plan members across 100 health plan brands, so every stakeholder can access and harness the most accurate, comprehensive, and contextually relevant information. By enabling informed decisions and confident action, the care access platform supports healthier outcomes, reduces friction in healthcare, and grants more time back in everyone’s day. To learn more, visit KyruusHealth.com or follow us on LinkedIn.

Media Contacts

Jeff Rusack
Media Relations Manager, KNB Communications
kyruushealth@knbcomm.com

Ashley Dauwer
Corporate Marketing and PR Manager, Kyruus Health
adauwer@kyruushealth.com

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Patient Engagement HIT: How do health IT vendors use patient family advisory councils? https://kyruushealth.com/patient-engagement-hit-how-do-health-it-vendors-use-patient-family-advisory-councils/ Mon, 08 Jul 2024 14:01:19 +0000 https://kyruushealth.com/?p=460383 The post Patient Engagement HIT: How do health IT vendors use patient family advisory councils? appeared first on Kyruus Health.

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Sara Heath

Tech Target Patient Engagement

Patient and family advisory councils (PFACs) aren’t just a hospital mainstay anymore, as health IT vendors host them to gain user insights.

Patient and family advisory councils are starting to find new homes in unexpected places: health IT companies.

PFACs are historically common fixtures in hospitals and health systems. But as the industry continues to embrace a consumer-obsessed approach to patient engagement, that mindset is translating from care sites to the vendors that supply them.

The patient voice isn’t just important for shaping care management; it’s also important for designing the tools that assist with that care management.

Healthcare’s digital transformation means there’s a growing suite of tools, such as patient portals or online provider search and appointment scheduling systems, that directly serve patients. Getting patients’ user intel about how these systems work can give designers the insights necessary to make improvements.

While health IT companies might conduct extensive user testing and focus grouping, adding PFACs is new territory for most developers. How are health IT vendors approaching this new world of patient feedback?

Continue reading the full story here on Patient Engagement.

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