How to Use Member Engagement to Strengthen Healthcare Market Competitiveness
In a dynamic marketplace, member engagement helps strengthen healthcare market competitiveness for healthcare payers. Health plans that leverage digital engagement solutions can enhance their appeal to employer groups and members across lines of business while achieving substantial cost savings.
According to the 2024 HealthEdge® Consumer Survey, one-third of health plan members are “very likely” or “likely” to switch insurance plans in the next year. Personalization, transparency, and convenience topped the list of factors most influencing member satisfaction.
Use Member Engagement for Marketplace Differentiation
Digital solutions like Wellframe can amplify the impact of healthcare interventions, increasing workflow efficiency and broadening member reach. Wellframe enables health plans to distinguish themselves in a crowded market by offering an integrated, enhancing healthcare market competitiveness by offering an integrated whole-person platform that streamlines workflows and reduces reliance on point solutions. Members can directly engage with their health plan and providers, simplifying the user experience and improving benefits access.
Health plans that utilize Wellframe have reported significant improvements in member satisfaction, engagement, and clinical outcomes—which contribute to higher retention rates and a stronger market position. Plus, payers can leverage their integrated Wellframe offerings as a value proposition during the RFP process and open enrollment to attract new business.
Deliver Comprehensive Benefits for Employer Groups
Employers are increasingly looking to provide their employees with comprehensive benefits that directly affect health and wellness. Wellframe addresses this need through a range of accessible features designed to help health plans achieve organizational goals, such as cost savings, improving satisfaction rates, and reducing vendor reliance.
Cost savings: Coordinated care management drives cost savings, reducing overall healthcare expenses. The Wellframe solution offers up-to-date information on members’ unique health needs, making it easier for care managers to prioritize outreach and deliver proactive support that lowers long-term care costs.
High satisfaction rates: Wellframe’s staff dashboard offers tools that enable decision support and facilitate member engagement. Care managers receive alerts based on member risk data, and a HIPAA-compliant chat feature allows them to send messages for members to respond to on their own time. By offering an intuitive and accessible platform, Wellframe increases member satisfaction and engagement with their health benefits.
Vendor Reduction: Managing multiple vendor relationships and coordinating between multiple systems can be a logistical challenge for employer groups. With more than 70 digital care programs, Wellframe eliminates the need for distinct point solutions by providing an integrated platform that supports a broad spectrum of acute and chronic conditions. The Wellframe solution streamlines administration and reduces the complexity of managing employee health benefits.
Retain and Win New Members Across Lines of Business
Wellframe’s platform provides a strategic advantage for retaining and attracting new members across lines of business, including Medicare, Medicaid, and Commercial populations.
Government Lines of Business
Achieving high member satisfaction is critical for favorable Consumer Assessment of Healthcare Providers & Systems (CAHPS) scores, which, in turn, contribute to a plan’s Star Rating. Improved Star Ratings not only enhance a plan’s reputation but also lead to increased federal bonus payments and boosted member enrollment. Wellframe’s digital engagement solutions help health plans improve CAHPS scores by providing personalized, consistent support to high-risk and rising-risk members.
Commercial
For commercial populations, high rates of member satisfaction can be a powerful marketing tool for attracting new members and retaining existing ones. Offering Wellframe as a solution positions health plans as modern partners in member engagement and satisfaction. Potential members will also compare health plan offerings during open enrollment to find the best fit. A member engagement solution with demonstrated results can drive interest and increase enrollment.
It’s easier to engage members in their health by providing value upfront with easy-to-access resources and communication tools. This proactive approach significantly improves member experiences and satisfaction, leading to high rates of member retention as well as boosting healthcare market competitiveness.
In an increasingly competitive healthcare market, member engagement and satisfaction are crucial for success. Wellframe’s digital health management platform offers a comprehensive, unified solution that enhances member satisfaction, reduces costs, and improves Star Ratings. By leveraging the Wellframe solution, health plans can differentiate their offerings, provide superior benefits to employer groups, and retain and attract members across lines of business.
To learn more about how the Wellframe solution can help your health plan drive member engagement and satisfaction, watch the webinar on-demand: “Using Digital Care Management to Meet Members & Care Managers Where They Are.”
Hear about the strategies other health plans use to integrate digital engagement solutions into care management workflows and meet members across the risk pyramid.
