Health plans vary immensely in their size, scope, and strategic priorities. A baseline understanding of the health plan market requires a grasp on the following dynamics:
Health plan executives tend to think of growth via two primary avenues: membership growth and asset diversification. Health plans must excel against strong existing competitors and established, yet evolving, market dynamics.
The term "provider relations" refers to the relationship between health plans and providers, particularly physicians. Collaborative providers play a crucial role in advancing health plan strategic goals and improving healthcare outcomes. To build these plans must:
Health plans must empower beneficiaries by helping them access the best, most appropriate care available — which often means access to transformative, innovative models or treatments. To do this plans must:
Member engagement is the process of building, nurturing, and managing relationships with members to drive behavior change. Access our member engagement resource library, which includes tools, case studies, cheat sheets, infographics, to learn more about improving member engagement.
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