A Game Changer for Dual-Eligible Plans: CMS’s Proposed HRA Integration Rule

A Game Changer for Dual-Eligible Plans: CMS’s Proposed HRA Integration Rule

This blog was originally published by PDHI. Navigating the healthcare landscape is becoming increasingly complex, especially for individuals eligible for both Medicare and Medicaid. As policymakers seek ways to streamline processes and improve care coordination, a new proposed rule could be a game changer for dual-eligible plans. This proposal aims to simplify health risk assessments […]

Transforming Health Plan Engagement: The Power of Self-Service Digital Tools 

Transforming Health Plan Engagement: The Power of Self-Service Digital Tools

Today’s healthcare consumers are rapidly shifting toward digital-first interactions, creating significant opportunities and challenges for health plans looking to create and sustain meaningful connections with their members. Organizations like CareSource, one of the largest Medicaid  health plans in the U.S. has embraced innovative technology to scale and redefine their member engagement strategy.  Here’s how self-service […]

Maximize the Value of Your Member Portal: 3 Key Strategies – Part 1

Maximize the Value of Your Member Portal

Maximize the Value of Your Member Portal: 3 Key Strategies The member portal is the face of your health plan to your members and plays a critical role in members’ health journeys. It is often the most visible and meaningful touchpoint that members have with their benefits. Health plans make a significant investment in standing up a member portal, but are you getting the most return on that investment?

Structuring Your Healthcare Organization for Seamless, Compliant Member Engagement 

Structuring Your Healthcare Organization for Seamless, Compliant Member Engagement

In today’s healthcare landscape, organizations that communicate effectively with their member populations gain a competitive advantage in both patient satisfaction and outcomes. With new regulations coming into effect April 11, 2025- the Telephone Consumer Protection Act (TCPA) Consent Revocation Rule, it quickly becomes complex when multiple departments, vendors, and communication channels (IVR and SMS) are […]

Introducing Health Experience and Insights (HXI): A New Standard For Digital Health Engagement

Introducing Health Experience and Insights

Health plans are embracing digital strategies to deliver personalized interventions at touchpoints along consumer health journeys. Digital technology has the potential to bring together automated outreach and drive awareness of self-service capabilities to support a variety of healthcare consumer needs. When executed well, it enables organizations to rapidly respond to consumer actions and inflection points, […]

Top 10 Trends in Digital Health Engagement

Isometric 3D graphic of laptop and smartphones with data code interfaces

As we roll into 2024, new technologies are creating optimism around healthcare delivery. Intelligent technologies create opportunities for workforce efficiency, while data is powering much more sophisticated consumer experiences. We have the potential to deliver better more equitable health outcomes, but it will require the right focus. Here’s my breakdown of Top 10 trends impacting […]