Managed Care

 

Members Confused By Coverage Details

MANAGED CARE June 2008. © MediMedia USA
News and Commentary

Members Confused By Coverage Details

MANAGED CARE June 2008. ©MediMedia USA

Nearly 50 percent of members report that they don’t fully understand how to use their health insurance coverage and member services, according to the J.D. Power and Associates 2008 National Health Insurance Plan Study, which measured member satisfaction with 107 health plans in 17 regions through the United States.

Members were surveyed on seven key factors: coverage and benefits; choice of doctors, hospitals, and pharmacies; information and communication; approval processes; insurance statements; and customer service. Information and communications came out lowest.

Helping members understand critical plan details, such as how to locate physicians and how to appeal coverage denials, can lead to higher satisfaction ratings for insurers.

Interestingly, the top insurers were in the western part of the United States with BlueCross BlueShield of Arizona, Kaiser Foundation Health Plan of California, and Kaiser Foundation Health Plan of Colorado taking first, second, and third place, respectively.

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014