Health Plans
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As a health plan, by now Consumer Driven Healthcare (CDH) is a familiar concept
for you. The premise is simple: if consumers see the actual cost of services and
are given incentives to control these costs, then they will change their behavior
and overall healthcare costs will go down. But the data shows that the industry
can do much better – adoption of CDH, though growing, is still low.
You’ve found that it’s not as simple as simply offering high deductible health plans
(HDHPs) coupled with health savings accounts (HSAs) and other flexible benefit accounts.
Though in the past your primary focus may have been institutional customers (employers),
brokers, and members – the new world is all about the consumer! More so than ever
before, you must focus on empowering and enabling consumers.
There are new considerations. How can you help consumers evaluate potential plans
and enroll in the plan that is right for them? How can you support their short-
and long-term health and wealth needs? How do you educate them on essential wellness
and preventative strategies? They will need access to trustworthy and comprehensive
cause, effect, and treatment information to aid in healthcare decision-making. The
will need cost saving tips and strategies to manage their new healthcare financial
responsibilities. And more!
As a result, you must rethink your role. You must consider what you need to do in
order to drive adoption and empower consumers in this new CDH world. Your focus
must shift from simply taking care of members to driving enrollment, and supporting
both consumers and employers as they take ownership of their new CDH responsibilities.
At Metavante Healthcare Payment Solutions, we empower health plans to provide technological
and financial solutions that meet the requirements of consumers and employers. No
matter what your challenge, Metavante’s single administrative value chain can get
the job done – it includes:
Consumer Driven Healthcare Solutions
- HealthID – ID/eligibility and combination ID/payment cards
- BenSoft - flexible benefits administration software
- Metavante HSA – banking and investment technology
- WealthCare Card – multi purse benefit debit card
- WealthCare Portal – health and wealth education & decision support
Health & Financial Network Solutions
- HealthGateway – online medical provider portal to health plans
- ClaimRemit and ClaimPay – post-adjudication medical & benefits claim payment and
remittance distribution
- HealthCollect – medical receivables process management