Optimize Your Complaints, Appeals and Grievances Process
Find out how you can develop the much-needed trust among members and providers.
Members expectations are increasing!
It’s getting difficult for Health Plans to keep their members happy. Part of this is because members are accustomed to higher quality service levels in different walks of life. They demand similar quality of services from other health plans as well. Their tolerance is lower because it’s a matter of basic health and sometimes of life and death.
Regulators are increasing their scrutiny
Regulators are increasing their scrutiny too, expecting health plans to be 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. They must take concrete steps to develop much-needed trust among members and providers.
The need of the hour for Health Plans
Health Plans must act before its too late! They must not succumb to regulatory pressure or operational challenges. They must take proactive steps towards an efficient and responsive process.