Becker's Healthcare August 30, 2023
Health plans have historically struggled to deliver personalization that increases member engagement, improves care coordination, drives better outcomes and reduces costs. That’s despite spending 10% or more of their administrative budget on care management, according to McKinsey & Company, which also explained that payers are not deriving a return on investment from such programs. [1] As a result, health plans have missed opportunities to engage members outside high-risk populations, primarily because the technologies to achieve mass personalization were not adequately robust.
Turn those findings around: Health plans now have an enormous opportunity to both improve personalization and drive ROI – and, unlike in the past, new care management technologies are accelerating the critical shift toward elevated engagement. But the emergence...