DALLAS, Aug. 19, 2018 /PRNewswire/ -- Seventy-one percent
(71%) of Medicare health plan members say their plan does not
inform them if a provider drops out of the health plan's provider
network. Providers include hospitals, doctors, labs, and imaging
centers. And, just 22 percent of respondents said their
health plan follows up with them on the quality of care after a
provider visit. The results are according to a HealthMine
survey of 781 Medicare plan members.
The survey also revealed that 90 percent of Medicare members
said their doctor, or other professional care provider, knows them
best to help manage their health. However, only 18 percent of
respondents said that their health plan provides all health
information to their doctor before a visit including prescriptions,
medical history, and information collected from digital health
tools.
Survey data showed that 70 percent of Medicare health plan
members use digital health tools, including blood pressure
monitors, fitness trackers, medication/pill trackers and
more.
Questions from Survey:
Q: Does your plan notify you if your past or current
providers drop out of your network (providers include hospitals,
doctors, labs, and imaging centers)?
Q: Does your health plan interact with you after a provider
visit?
- Only about coverage/bills/claims
- Yes…to follow up on quality of care
- No
|
32%
22%
46%
|
Q: Does your health plan provide all of your
information to your doctor before a visit (prescriptions, medical
history, information collected from your digital health tools,
etc.)?
- Yes
- No, but would like them to
- Not sure
|
18%
32%
50%
|
Q: Which of the following do you think knows you best
to help you manage your health?
- Doctor/other professional care provider
- Relative
- Health Plan
- Friend/Home Health Aid
|
90%
8%
1%
1%
|
According to Bryce Williams,
president and CEO of HealthMine, "Medicare members are inextricably
connected to their doctors. Plans are first to know about
providers in the network. Plus, plans are much more than claims
processors – they are the central hubs of members' health
information. In this central role, plans have the knowledge to
communicate with members in a timely manner about plan
changes. The Medicare Advantage plans that are at 4 and 5
Stars typically excel at member communication," he
said.
About the Survey
The HealthMine Medicare Survey
queried 781 insured age 65+ consumers with a chronic condition who
are enrolled in a Medicare Advantage and/or Supplemental plan. The
survey was fielded by Survey Sampling International (SSI)
in June/July 2018. Data were
collected via an opt-in panel. The margin of error was three
percent (3%). Survey Sampling International (SSI) has been the
Worldwide Leader in Survey Sampling and Data Collection Solutions,
across every mode, for more than forty years.
About HealthMine
HealthMine is the only
member-centric clinical technology company with a platform built
inside a Value-Based Insurance Design (VBID) health plan. It is
specifically designed to identify risks earlier and close gaps in
care faster. The HealthMine solution consists of Automatic Health,
a clinical analytics platform, that generates insights and
recommendations. It includes Opportunity Manager, an application
that gives plans continuous access to data, insights, and
recommended interventions generated by the clinical analytics
platform, prioritized by projected revenue and cost savings
opportunities and the Personal Health Assistant consumer
application that empowers plan members to manage their health.
HealthMine is on the web at www.healthmine.com.
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SOURCE HealthMine, Inc.