Optimize Your Complaints, Appeals and Grievances Process
It’s getting tougher by the day for Health Plans to keep their members happy. Part of this is because members are getting accustomed to higher quality service levels in different walks of their life. As a result, they demand similar quality of services from healthcare payers. And, tolerance is lower because it’s a matter of basic health and sometimes of life and death.
Regulators are increasing their scrutiny too, expecting health plans to be very thorough in their determination and service considerations. While consumer-driven health insurance gathers momentum, Health Plans have to prioritize the optimization of Complaints, Appeals and Grievances (CAG) processes and take concrete steps to develop the much-needed trust among members and providers.
DOWNLOAD THIS WHITEPAPER TO UNDERSTAND:
- The healthcare payer ecosystem
- How to react to the incessant pressures
- Why your CAG process hurts
- How to optimize your CAG process