Five Reasons Your Appeals & Grievances Process Hurts

A happy member and a satisfied regulator is every health plan’s wish. No organization wants to deal with complaints. However, if complaints do occur, an efficient and friendly process is the key to develop that much needed trust among members, providers, healthcare payers and regulators. Most Complaints, Appeals and Grievances (CAG) processes, unfortunately, hurt instead. Knowing why that happens is critical in order to make progress towards a happy member.

Download this ebook and gain insights on:

• The changing healthcare landscape
• How your CAG process is hurting you
• Increasing member expectations and tighter regulations
• How to address the process challenges and make your members smile