In the realm of health insurance, striking a balance between managing expenses and providing empathetic communication to individuals facing healthcare decisions is crucial. Heather Cox, President of Insights & Empowerment at Zelis, discussed with MedCity News how her company utilizes care coordination tools to assist health plans in effectively communicating with members. The conversation highlighted the importance of proactive healthcare decisions, such as preventive measures like flu shots and guidance for urgent care scenarios, ensuring that patients receive timely and appropriate support.

Empowering Patients Through Effective Communication

Healthcare providers face the challenge of delivering clear and supportive messages to individuals who may be under significant stress while making healthcare choices. Zelis addresses this issue by focusing on enhancing communication strategies that not only inform but also empower patients. By collaborating with health plans, Zelis ensures that members are well-informed about their options and can make proactive decisions regarding their health.

The company’s approach involves leveraging advanced care coordination tools that facilitate seamless interactions between healthcare providers and patients. These tools help streamline the process of disseminating important health information, such as reminders for vaccinations or instructions for handling emergency situations. For instance, when a patient needs immediate medical attention after an accident, these tools ensure that they receive accurate and timely guidance, reducing confusion and anxiety. This comprehensive support system enables patients to feel more confident in managing their health, leading to better outcomes and increased satisfaction.

Supporting Proactive Healthcare Decisions

Zelis works closely with health plans to encourage members to take proactive steps in maintaining their health. This includes promoting preventive care measures and providing guidance on how to handle acute care situations. By fostering a culture of prevention, Zelis helps reduce the overall burden on the healthcare system while improving patient well-being.

One key area of focus is encouraging members to get routine vaccinations, such as flu shots, which can prevent serious illnesses and reduce the need for costly treatments. Additionally, Zelis provides clear instructions on what actions to take in case of emergencies, such as accidents or sudden illnesses. For example, if someone experiences a bicycle accident, Zelis ensures that they know exactly what steps to follow, from seeking immediate medical attention to understanding the next steps in their recovery process. This level of detailed support not only enhances patient safety but also promotes a more informed and engaged patient population.