Ep 12 - Accessibility and Adequacy: Foundations for a Competitive Healthcare Network

Ep 12 - Accessibility and Adequacy: Foundations for a Competitive Healthcare Network

Accessibility and adequacy are two of the most important elements for healthcare plans today, and digital transformation has made both easier to track and provide. At their core, accessibility and adequacy revolve around the expectation that a health plan member can find not only the right healthcare provider for their needs but that they can do so easily.

Being able to easily find the right healthcare provider has become a challenge for many people, due in no small part to the COVID-19 pandemic. Not only did populations shift, with many people leaving larger, more centralized locations in favor of more rural areas, but also because medical practitioners left the field. Despite the disruptions and changes resulting from COVID-19, patient expectations for their healthcare plans did not change, and many health plans found themselves scrambling to ensure adequate and accessible healthcare solutions were available in more places than ever before.

How did plans adapt? Has the importance of both accessibility and adequacy remained? What should health plans do to better assess their networks for both?

In the latest edition of the Future Healthcare Today podcast, Jillian Carlile, Senior Product Analyst for Network Solutions, and Paul Nance, Senior Product Analyst for Network Analytics, both from Zelis, share their thoughts on the enduring importance of both and what companies like Zelis can do to help plans meet and exceed expectations:

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Episoder(25)

Ep 25: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 2

Ep 25: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 2

On the Future Healthcare Today Podcast with Lucas Hunsicker, Kristin Gasteazoro, Senior Vice President of SmartShopper Sales and Client Performance at Zelis, and Reagan Greene, Vice President of Brand...

24 Jul 202415min

Ep 24: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 1

Ep 24: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 1

In the Future Healthcare Today Podcast, hosted by Lucas Hunsicker, featuring Kristin Gasteazoro, Senior Vice President, SmartShopper Sales and Client Performance at Zelis, and Reagan Greene, Vice Pres...

24 Jul 202421min

Ep 23: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 2

Ep 23: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 2

Despite healthcare’s critical importance, the intricate nature of insurance plans and healthcare information can often leave individuals feeling adrift. A recent Bend Financial report found that 56 pe...

21 Mai 202415min

Ep 22: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 1

Ep 22: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 1

Despite healthcare’s critical importance, the intricate nature of insurance plans and healthcare information can often leave individuals feeling adrift. A recent Bend Financial report found that 56 pe...

20 Mai 202417min

Ep 21: Care Guidance Tools Helps Deliver High-Quality Care for Members

Ep 21: Care Guidance Tools Helps Deliver High-Quality Care for Members

People often turn to family, friends, and Google to make healthcare decisions and find healthcare providers. This can lead to confusion and misinformed decisions. Healthcare partners can – and should ...

18 Des 202323min

Ep 20 - Brokers Step in to Fill Knowledge Gaps as Healthcare Becomes More Complex

Ep 20 - Brokers Step in to Fill Knowledge Gaps as Healthcare Becomes More Complex

The Affordable Care Act, far from simplifying healthcare, has introduced many more complexities, making the jobs of HR workers even more challenging as they attempt to keep pace with the fast-changing...

17 Des 202311min

Ep 19 - New Transparency in Coverage Regulations for Machine-Readable Files Affect the Market

Ep 19 - New Transparency in Coverage Regulations for Machine-Readable Files Affect the Market

The Transparency in Coverage (TiC) regulations provide further clarification for the use of Machine-Readable Files (MRFs) for the health insurance industry. These rules require that healthcare plans a...

16 Des 202315min

Ep 18 - Clarity, Control, and Guidance: The Future of Healthcare According to Zelis

Ep 18 - Clarity, Control, and Guidance: The Future of Healthcare According to Zelis

The healthcare industry has seen its fair share of disruptions in the last few years. With the advent of telehealth and a renewed interest in taking charge of their healthcare, many members have inter...

15 Des 202317min

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