The use of data and analytics is becoming increasingly important in understanding cost drivers and implementing mitigating programs to affect them. Price transparency is key understanding those drivers in order to make more effective program and service decisions.

Challenge 

Not all states mandate transparency on price and quality in health care. This poses a challenge since research indicates that transparency can help reduce costs.

Member Engagement 

Even in states with transparency mandates, it isn’t always easy to get members to use the transparency tools available to them. They need to know about these tools and how using them can have a positive impact on their own health. In states without a mandate, members are severely disadvantaged when it comes to accessing quality or price information.

Addressing the Problem 

Carrier and other transparency websites are passive. Members often don’t even know they exist. Also, information must be presented on as near real-time or as-needed basis as possible, allowing members to make informed decisions when it is relevant.

Mobile apps that push notifications improve timeliness and affect take-up. In addition to more directed messaging or alerts, information presented to members should appear (and be) transparent and supportive.

Using Amazon shopping as an example, messaging constructs could follow peer reviews or peer rating models. For example:

  • “People like you have gone to place A and saved money in their out of pocket expense.”
  • “People like you have also signed up for these preventative services or programs…”
  • “Here are three things you should pay attention to based on lessons from other consumers of healthcare similar to you…”

We believe this is going to help deliver on the promise that transparency has to offer. z5 by zakipoint Health provides employee engagement, proprietary benchmark data and state-of-the-art analytics. Our tools allow users to make decisions on services in real time. Information is presented on an as-needed basis, allowing members to make informed decision based on their plan and benefit design, with the goal of improving care and lowering costs.

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