What’s Next for Well-Being? | Part 4: Top 3 Capabilities

In the last of our four-part blog series, What’s Next for Well-Being?, we take a closer look at three essential components of a next-generation health and well-being platform.   

Innovative health plans see today’s challenges, even the most difficult ones, as opportunities to transform their industry and differentiate themselves from the competition. Among the core challenges are:  

Fragmentation 
Everyone agrees the healthcare system is overly fragmented, resulting in miscommunication, lack of follow-up support, higher costs, and gaps in care. 

Payer Disintermediation 
The explosive growth of vendor solutions and care navigators is eroding the value of health plans, taking over the member experience, and creating an even more disjointed experience.  

Engagement 
As members increasingly demand a retail-like, personalized experience, convenient and effective digital engagement is now a table stake. 

The Opportunity 

Choosing a health and well-being platform with these three capabilities can help your health plan meet these challenges.:  

1)  Care Navigation 

When your members make poor healthcare decisions or don’t fully understand their benefits, it drives up the cost of care. Fully-integrated care navigation can help your members make better, more informed decisions and transform a health and well-being platform into a digital front door for your members’ healthcare needs.  

Key Questions  

• Can your platform enhance care coordination, guide members to appropriate care, and support their treatment decisions?  

• Does it help your members understand and utilize their benefits? 

2) Seamless Experience 

The enormous proliferation of point solutions, the tools and services that help members address a specific health or well-being issue, has become an issue. Managing and optimizing such a wide array of multiple vendors is inefficient and time-consuming for health plans as well as confusing for members, who are looking for a less fragmented, more seamless consumer experience they can enter through a digital front door.  

Key Questions  

• Can you integrate your current vendors and guide members to your programs? 

• Can you consolidate your well-being capabilities with your plan’s benefits and services?  

• Can you guide members to the right healthcare services and support value-based care?   

3) Configurability 

A one-size-fits-all well-being platform severely limits your capability to serve the needs of both your members and your employer clients. In contrast, a highly configurable digital engagement platform meets can meet all requirements, from integrating all benefits to providing customized rewards, incentives and health challenges.  

Key Questions 

• Can you configure your portfolio of solutions to meet your business objectives? For example, can you close a specific gap in care by using interventions and focused communication campaigns that target a demographic that shares common attributes?  

• Can you provide a customized experience for your major employer groups, including both steerage and gaps-in-care solutions? 

The Next Step 

In a recent survey, 81 percent of consumers expressed dissatisfaction with their healthcare experience and interest in using a unified digital solution. At Pager Health, we’re transforming the fragmented consumer healthcare system into a seamless and connected care experience.  

See for yourself how our intelligent health experience is guiding members to better health and the “Next Right Thing to Do” for their wellness journey. Book your demo today.