The Health Insurance market size is expected to reach USD 2.2 trillion by 2024 and payer organizations are steadily adopting technological innovations as they seek to offer better care options and consumer experience. Payers are accelerating digital transformation initiatives in response to the looming threat of disruption by new market entrants and avoid obsolescence. There is a noted surge in payer organization investments (approximately 56% of annual payers budget) to elevate digital transformation.
Digital Transformation helps in creating member centered care by integrating technology into clinical workflows and drive value for members, healthcare providers, payers, and regulators. It redefines how people, technology and devices interact in healthcare environments - helping promote better care, reduce costs, and improve outcomes.
Evolving government regulations, technological innovations, and members expectations are negatively impacting payer efficiency and growth. Current challenges that health plans face include:
Bringing together technology and business trends of mobility, automation & data analytics would strengthen the foundation of healthcare delivery. This will develop a more comprehensive understanding of consumer needs and preferences.
Giving patients access to their health information is not just a stipulation under HIPAA, but is also critical to the delivery of patient-centered care. CitiusTech helped a leading health plan sustain and enhance the capability of their member portal to effortlessly serve over 3 million members
The health plan now reports and resolves over 800 incidents annually. The modernization of member experience with 25+ features resulted in better engagement, access to healthcare data, and helped the client create a patient-centric ecosystem.
Payers that adopt digital transformation, achieve better health outcomes for their members with lower claims costs. They see improvement in consumer experience, overall efficiency in operations and better digital network by working closely with the other players in the healthcare ecosystem.
In the upcoming blog, we explore various technology enablers and approaches that would allow payers to start their digital transformation journey.