Optimize Your Complaints, Appeals and Grievances Process
Win your members and providers over!
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 the high quality of service in different walks of life. They demand similar quality of services from health plans as well. Their expectations are high and tolerance is low as it’s a matter of health and sometimes, even life and death.
Regulators are Increasing Scrutiny
Regulators are increasing their scrutiny too, expecting health plans to be thorough in their service considerations. While consumer-driven health insurance is gathering momentum, Health Plans must take concrete steps to develop trust among members and providers.
Why Complaints, Appeals & Grievances (CAG) Process Hurts?
Despite deploying all resources in the process, it continues to hurt in various ways. Some of the prime reasons include:
- Siloed functions
- Physical documentation
- Manual processes
- Untraceable actions
- Rigid processes & systems
Health Plans must act before it’s too late!
Health Plans need to be agile to the dynamic business and regulatory environment. They must optimize their CAG processes. To read more, download this whitepaper.