What We Do Who We Are Resources Blog Healthx Blog Read More Jumpstarting Portal Engagement – For Your Own Good! Improving portal engagement requires a little guidance “Because I said so.” We all know what that means. We likely heard it from our parents –... Read More Building a Portal: Carpe Diem Part 3 of a 3-part series: If you've got it, use it Ray Kinsella, the lead character played by Kevin Costner in the film Field... Read More Building a Portal: Provide A Carrot Part 2 of a 3-part series: Entice users Ray Kinsella, the lead character played by Kevin Costner in the film Field of Dreams, hears a... Read More Building a Portal: Don’t Let the Destination Disappoint Part 1 of a 3-part series: Give 'em what they want Ray Kinsella, the lead character played by Kevin Costner in the film Field of... Read More Build vs Buy Platforms - Which is Right for... Considerations for build vs buy platforms Balancing your company’s immediate needs with long-term growth is a complex decision-making process that affects all levels of an... Read More Simple Portals Aren't Enough for Consumer Expectations Member portals must provide a unified experience The overwhelming majority of patient portals are tethered to a single healthcare information system that require the member to... Read More Provider Directories Must Be Accurate to Remain Competitive Payers can't afford to risk having inaccurate data With the increase of Marketplace plans and enrollees, provider directories must meet the bar. The transparency of... Read More Authorization Process Streamlined by Portal Solutions Legislators aim at streamlining authorization In theory, prior authorization (physician authorization for medical care), or PA, is a concept that seems straightforward and simple. But rules and... Read More Telemedicine Is Now a Viable Healthcare Option TELEMEDICINE IS GOING MAINSTREAM The idea of telemedicine has been around for a long time. But in 2016, mainstream healthcare is finally ready to embrace... Read More Five strategies for ACOs to engage with high-cost patients Numerous studies have shown that the majority of healthcare spending goes toward the care of a small percentage of patients. Those statistics hold true... Read More Building a seamless digital brand: The ACO Imperative The great hope of value-driven healthcare lies in the consolidation of payer and provider services to achieve triple aim success in patient satisfaction, improved... Read More Three tips for reducing admissions in ACOs Avoiding unnecessary hospital admissions helps accountable care organizations (ACOs) provide higher quality care to patients as well as reduce costs for their own organization.... Read More Four questions you should ask your Software-as-a-Service vendor In both the technology and the healthcare worlds, change is the challenge and also the goal. As consumers, we all want and expect healthcare... Read More Digital engagement strategy: The key to ACO success Value-driven healthcare and cost efficiency are not mutually exclusive goals. The digital experience you create for your participants is the engine that drives both.... Read More Improving healthcare quality through creative digital strategies Rapid development of mobile technology in the healthcare sector means digital engagement with members is no longer optional. But in a 2015 report called “Health... Read More Medicare Star Ratings: The Surprising Truth Recently the Centers for Medicare & Medicaid Services (CMS) released the latest round of star ratings for Medicare Advantage Plans, also known as Medicare Part... Read More Five steps toward a more effective provider portal Struggling to prioritize your provider portal? Though it may not seem mission critical, an effective provider portal can play an essential role in helping... Read More Overcoming the barriers to healthcare transparency For years now, we’ve heard that healthcare transparency is the wave of the future—the thing that would transform the healthcare industry, the end-all-be-all of healthcare... Read More Emerging collaboration of payers, providers and patients Changes that drive collaboration The Affordable Care Act and other shifts in the healthcare system have brought about an array of changes in recent years, mostly... Read More 3 member engagement resolutions every payer should make in... Here we are again, facing a new year. It’s the time when many of us do a “gut check” on our lives and resolve... Read More What you need to know about the security of... Cloud-based platform services have come a long way in the past 5-10 years. I can remember meeting with TPA owners and health plan leaders... Read More An opposing view on ACA language translation requirements After reading that title, you might think I’ve lost my mind. So let me make this clear: I’m not opposed to language translation. I’m... Read More The role of digital engagement in improving quality of... In previous blogs, I’ve written about how digital engagement strategies can help healthcare payers reshape transactions like choosing a doctor and ordering an ID... Read More Reaching today’s mobile health consumer Often when people talk about mobile health, they focus on attention-getting gadgets like Apple watches and wearable tech. But there are many other ways... Read More 7 key principles for health insurance mobile apps (well,... As American consumers increasingly rely on smartphones to access the Internet and conduct transactions, creating a mobile-friendly experience is a must for health insurers... Read More Share your tips for open enrollment success It’s open enrollment season for employer benefits. I’m sure you’re busy – perhaps too busy to think straight! But on the other hand, this... Read More How healthcare transparency has evolved For several years, we heard that healthcare transparency would be the wave of the future. The thing that would transform our industry. The end-all-be-all... Read More 4 best practices for your physician portal Provider portals aren’t the most exciting topic. But when it comes down to it, they are one of the most effective ways for healthcare... Read More Care coordination for dual-eligible Medicaid and Medicare members: a... If there is one trend in healthcare that isn’t going to change soon, it’s the growth in America’s dual-eligible population. At last count, more... Read More Tips for making the leap from Medicaid Managed to... For Managed Medicaid plans, the potential rewards of moving into state and federal exchanges are appealing. However, making the leap requires advance preparation, effort,... Read More Lessons learned going from Managed Medicaid to a healthcare... At first glance, creating a health insurance offering for the public exchanges created by the Accountable Care Act (ACA) may seem like a natural... Read More What health care plans can learn from TripAdvisor about... With health plans looking to be more efficient and helpful to their members, their online portals and mobile apps have become more important. But, they... Read More The growing role of technology in NCQA accreditation for... A stamp of approval from the National Committee for Quality Assurance (NCQA) indicates a health plan has met performance measures for matters like quality,... Read More Is a cloud-based member portal right for you? For nearly two decades, I have been singing the praises of cloud-based technology for member portals. Recently I came to an interesting conclusion: I... Read More How digital engagement can differentiate TPAs As a third-party administrator, you can’t be successful if you keep doing the same thing year after year. Competitive fees, efficient processing, and excellent... Read More Why healthcare payers need a mobile first strategy Think about all the places where your members want to access information about their benefits. They’re not just at home or at work, using... Read More Tips for getting provider collaboration on the pay-for-performance healthcare As I talk with our healthcare payer clients about pay-for-performance models, I often hear the same questions: “How do I get providers to feel more... Read More 5 ways to improve your digital member engagement Here’s a news flash: Healthcare consumers have the same wants and needs as consumers in other categories. For years, the industry treated them as... Read More 5 things TPAs should do to capitalize on the... In my previous post, I described how the Affordable Care Act (ACA) has presented new opportunities for TPAs to grow their service offerings and... Read More Why the ACA creates a golden ticket for TPAs In Charlie and the Chocolate Factory, highly sought-after Golden Tickets gave a lucky few entry into the wonders of Willy Wonka’s facility. In a similar... Read More Why you need to offer multi-language member portals To grow in today’s healthcare market plans must win with consumer engagement and retention. A key factor in consumer engagement is speaking to members... Read More Mobile poised to transform consumer healthcare engagement For those of us involved with consumer engagement in healthcare, the past few years have been an interesting ride. The imperative for engagement has... Read More Member engagement: a “must-have” for health plans today The turbulent market dynamics reshaping the healthcare industry open new opportunities for health plans. Long pigeon-holed as coordinators of provider networks and administrators of... Read More How to help health plan members shop Many of today’s health system changes are due, in large part, to an interesting mix of government imposed mandates and entrepreneurial opportunism. The Affordable Care... Read More 5 Ways to help members become better consumers post... With Healthcare Reform and other market forces driving fundamental change, many insurance plans are working to redefine their business models and priorities to become... Read More Reaching the consumer at the gut level: biker at... Last week's Blues National Summit had its fair share of high-level executive speakers, industry analysts, market forecasters, and government policy experts. All very appropriate for a... Read More What’s next for consumer health care incentives? When it comes to health care incentives, which is more effective: focusing on wellness behaviors or health care choices? If it’s the latter, which... Read More The member engagement playbook Health insurance plans are adapting at varying paces to the rapidly evolving consumer-oriented market. Some first movers are driving forward with innovative consumer strategies... Read More Digital member engagement needs distinct purpose For those in the healthcare marketing arena, there’s no question that “engagement” is a hot topic. Everyone is talking about it, sponsors wants more of it, and... Read More Health plan member engagement: the elephant in the room...? In a conversation this week with an industry colleague, he said it seems everyone is talking about member engagement as a must-have strategic imperative,... Read More The increasing importance of a digital member experience The digital member experience is increasingly important to each healthcare payer. Every member has their own set of needs, wants and expectations. Are you... Read More A Message from Frank Hone VP of Marketing and... I’m delighted to be on board at Healthx, focusing on marketing and engagement – two critical areas in healthcare today. As background, I’ve recently... Read More Are you at risk? Key points about Star Ratings... CMS released the 2015 Draft Advance Notice Call Letter for Medicare Advantage plans. The news may seem daunting for health plans. While some changes... Read More What the experts are saying about coordinating care for... In a recent Modern Healthcare Webinar Roundtable Discussion, leading experts participating in dual eligible demonstrations emphasize that effective care coordination empowers members to manage their health,... Read More 3 actions every payer CIO should consider now Many healthcare payer organizations are discovering they are tied to technology that won’t keep pace with today’s changing healthcare landscape. Especially, with healthcare reform... Read More What everybody ought to know about language preference and... With the growth of foreign language speakers in the U.S. and more opportunities to obtain healthcare coverage through the Affordable Care Act, linguistically appropriate... Read More Healthcare consumer voice: if only I knew One of the biggest challenges I face as a healthcare consumer is understanding that the things that are trivial to you are big deals... Read More Lessons learned from 2014 HCAA Executive Forum At the 2014 HCAA Executive Forum, we learned it takes courageous leadership to withstand the new era of healthcare reform. Co-Ops, private exchanges and... Read More Hold the phone! 17 tips to reduce call center... It’s like Y2K all over. With the Affordable Care Act and a growing individual market, healthcare payers are faced with many unknowns. For some, adapting... Read More How would I rate you? I just enrolled in your health plan, but other insurers may beckon me. If you really want to keep me in your plan, let’s... Read More Advice from a healthcare consumer I am a healthcare consumer, which means I can become a walking advertisement for your products and services. I typically view benefit and plan... To Learn More Subscribe To Our Blogs Talk to us about the right solution for you.