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For Healthcare & Life Sciences Professionals

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February 10, 2006

Health Plan Member Service Deconstructed

Better Member Service Is Good Business For Health Plans

by Elizabeth Boehm

with Bradford J. Holmes, Julie Snyder, Will McEnroe

This is an excerpt

Executive Summary

Health plans face a crisis as new plan designs put more financial responsibility on the shoulders of consumers, new health management programs target more interventions at a wider array of members, and new service channels like email and IM complicate the member service landscape. The challenge? Provide seamless member service across an array of communication channels in order to build member loyalty and control service costs. But that's not all. Plans that want to differentiate themselves by delivering a great service experience must create a member analytics infrastructure to optimize all engagements with members and influence members' health choices.

TABLE OF CONTENTS

  • Health Plan Service Channels Earn Low Marks From Members
  • Addressing Member Service Shortfalls Yields More Than Just Better Service
  • Health Plans: Don't Reinvent The Service Wheel

RECOMMENDATIONS

  • Member Service Execs Must Focus To Capture Broader Business Benefits

WHAT IT MEANS

  • Member Service Strategy Shift Spells A Change For Plans' Vendor Partners
  • Related Research Documents

This is an excerpt

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