Health Care Insights

Health plan directors are typically concerned with wellness, spend and profitability. The three are inextricably tied together.

In recent interviews with health plan directors, several commonalities on the subject of spend recurred. One common notion was, a “do-it-yourself” mentality for member communications fulfillment would reduce spend. What plans might not know is that “doing-it-yourself” actually increases spend and risk consequently reducing profitability.

Industry Challenge

Let’s paint a picture. A prospective client (now a current client) asked us to do a cost analysis that would prove outsourcing was less expensive. We did as was requested. This is the part of the story that we reveal that there was a huge difference in renting or purchasing machines, maintenance, paper and quite frankly hard costs but that just was not the case. Face value dollar for dollar they were even. So why did they eventually outsource? Value that was conducive to greater profitability:

How To Fix It

The most successful directors solve this by using processes that embody streamlined tools that very simply empower them to:

  • Request – View – Approve and centrally file a “library” of components available for use in their ANOC/EOC and/or other kit fulfillments
  • Define Campaigns when, how frequently and by what compliance dates materials need to be delivered
  • Define the Contents of their kits –specifying particular versions (including foreign language support) and sequences of content
  • Associate designed kits with campaigns
  • Make a Secure Way to upload and validate fulfillment lists and create fulfillment jobs
  • Define when fulfillment list are ready, review an online proof (and a first article when needed) and approve the fulfillment to run
  • Make Fulfillment run through a HIPAA compliant e-Presentment or print production facility (local printers are not typically HIPAA compliant)
  • Produce in a manner that avoids “death by email and attachments”
  • Report Posts Back to APIs with search functionality archival ready for CMS audit and other reporting functions

Differentiate From The World

ABG Communication’s BridgeSuite™ is the only HIPAA compliant Healthcare Technology Enabled Services Platform that innovatively streamlines workflows managing FTE and compliance costs:

Offers Threshold Language Execution, Automated test scripts, Versioning Templates, Centralized Workflow, Reporting mechanism for Star Measures, Programmatically checks followed by Service QA checks, e-Presentment/Mail Engineering Optimization Consulting & Double Checks, Real-time templating for Instant Proofs, CMS Domain knowledge of Templating all while Boosting to the Health Plan’s portal. Remember, when your car is broken you call a mechanic not a doctor. Health plans take care of members. Fulfillment engineers take care of the communications for those valuable members.

Read eBrochure
  • Payer
  • Member Outreach Campaigns
  • Self-Administered Test Kit Fulfillment
  • Member Satisfaction Surveys
  • Medication Therapy Management Communications
  • Clinical Letters
  • Pharmacy Adherence, Drug Recall
  • Medicare Part B, C and D Member Communications
  • EOB’s, IDN’s, Transition Letters, DMR’s, etc.
  • ID Cards
  • Commercial Plan Communications
  • Data-driven Directories, Formulates
  • Member Plan Information Kits
  • Annual Notice of Change (ANOC/EOC)

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Payer – ABG White Paper

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$700,000+ in fines saved

Whether you’re a plan administrator, a clinical communicator or a healthcare marketer, developing… Download the Member Communications guide:

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