Currently,the best insurance companies in kenya are transforming the healthcare industry by providing more value to their consumers, improving patient outcomes and implementing new technology to reduce costs. In this article, we'll explore some of these changes. In particular, we'll look at how high-density health plans (HDHPs), telehealth technology and self-service workflows are transforming the healthcare industry.
Choose the best insurance companies in kenya
Prescription drugs
Whether you're a health plan or a consumer, you're likely familiar with the increasing cost of prescription drugs. It's a major driver in health spending, and one that has often outpaced other medical spending. As a result, policymakers are considering ways to slow this trend.
Insurers are transforming their business models and making proactive choices about their positions. To do this, they'll need to overhaul their core legacy systems and embrace Agile software development and cloud-based solutions.
One way to help slow the rise in healthcare costs is to adopt digital technologies. This includes apps that monitor prescription drug use, alert users to possible side effects and interactions, and help patients stay healthy.
Another strategy is to encourage patients to choose plans with formularies that include drugs they use regularly. These formularies can mitigate cost increases due to changes in the underlying drug mix.
HDHPs
Across the United States, insurers have been making dramatic changes to the way they provide health care. This includes increasing consumer choices, directing more patients to providers with higher quality and lower cost, and increasing focus on quality competition among health care providers.
While many of these changes are positive, they also raise concerns. One is the impact of high deductible health plans (HDHPs) on overall health care spending. HDHPs are intended to reduce costs while also offering more cost-conscious employees protection against catastrophic health risks. However, some studies have found that HDHPs can lead to decreased high-value care.
In the US, health care spending has grown substantially in recent years. This has led to increasing concerns that managed care will lead to rationing and stinting. The goal of managed care is to reduce the overuse of hospital services and physician visits. Typically, managed care plans restrict providers to in-network providers.
Telehealth technology
Using telehealth technology to provide services to patients who live far from a medical center can help them stay in their homes when they are sick, which is often more convenient than going to a doctor's office. Telehealth tools can also be used to provide a patient with information about their illness or condition, or advice on how to self-manage their health.
Telehealth has become more popular in recent years, with more consumers using telehealth services and providers embracing telehealth as a way to deliver care. Telehealth also allows patients to receive treatment from specialists who do not live in their communities.
A telehealth provider can conduct a physical exam using computer software. Patients can also upload their medical records to a provider using a mobile app. Some patients even use wearable devices to record their blood sugar level or heart rate.
Self-service workflows
Providing customers with the tools they need to manage their insurance is an important aspect of any insurer's customer experience. These tools include automated digital workflows. They enable customers to process insurance claims without having to speak with an insurance agent. Providing them with these tools can increase customer satisfaction.
Automated digital workflows are based on conditional logic. This means that they can push data via API, change template colors, add images to HTML templates, and more.
These tools are ideal for insurance companies looking to offer their customers the best possible self-service experience. They can also help improve efficiency, which is especially important in a highly regulated industry.
These workflows can also reduce the workload of customer-facing staff. By streamlining the process of collecting information, insurers can free up time to focus on deepening their customer's understanding of their insurance plans.
COVID-19 crisis
During the COVID-19 pandemic, insurance companies in kenya are providing relief to their members. This includes a comprehensive national television campaign, microsite and digital content to address specific health concerns. In addition, Anthem has launched a suite of digital tools designed to provide trusted, consolidated information to health care officials, patients and other stakeholders. These tools include the Digital Data Sandbox, one of the largest certified de-identified health data sets in the U.S. and the Neighborhood Health Dashboard, which measures health behaviors, socioeconomic factors, access and utilization.
In addition, Aetna, which is a CVS Health company, is waiving out-of-pocket costs for its members seeking primary care or specialist telehealth visits. In addition, Aetna works closely with partner hospitals to ensure members are transferred to clinically appropriate care settings.