What’s Next for Well-Being? | Part 4: The 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. 

Fragmentation

Everyone agrees our healthcare system is 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 even more fragmentation. 

Engagement

As members increasingly demand a retail-like, personalized experience, 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. 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 preferred providers, and support their treatment decisions? 

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

2) Seamless Experience

The enormous popularity of point solutions, the tools and services that help members address a specific health or well-being issue, is becoming 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 their 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 into your platform as well as 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 is able to meet the exact specifications required by your health plan, from integrating your entire benefits offering 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, we’re transforming the fragmented consumer healthcare system into a seamless and connected care experience. See for yourself how Pager combines well-being, care navigation, and value-based care services on one configurable platform that integrates with any digital front door. Contact us today for a free demo.