Hide This

FREEHER HealthToolkit

HER Health Toolkit

Sign up for EmpowHER updates and you'll receive our
FREE HER Health Toolkit

Political Issues

Get Email Updates

Resource Centers

Health Newsletter

Receive the latest and greatest in women's health and wellness from EmpowHER - for free!

Insurance Companies Are Already Courting E-Patients

By Francine Hardaway
 
Rate This

Regence is trying to invoke a vision of health care as everyone’s community asset: the consumer has to recognize that it’s his money and his future. Although there’s plenty of blame to go around in the health care industry, rather than trying to find someone to blame, Nair says, insurers have to change, and change quickly, altering their centers of gravity to the consumer and helping the consumer make better decisions, balancing medical management with consumer engagement. Of Regence BC/BS’s 3 million members, 30% are already actively engaged in online communities.

Over the past two years, CIgna’s 8.5 million domestic” lives” have already seen a transformation from their old school insurance company to a customer-centric universe Focused on what people actually want from this system, Cigna participates in Facebook, Twitter, Second Life, Eliza, and Intuit (Quicken Health). Cigna patients can download all their claims information in Quicken Health and see what’s been paid, what hasn’t been paid, and what their responsibility is. The application both tells people how much is actually being covered by their insurance, and explains why things are not covered — in plain English. Cigna patients have seen their information made transparent and delivered to them through many interactive channels. However, merely making information available does not necessarily encourage people to change their behavior. You need to have a motivated patient that’s willing to act on the information.

But at least the new system invites the patient in, which the current health system does not do.

Nathan Moracco, St of Mn Management and Budget supports the employer group for the state of Minnesota, and has devised for the state a tiered product with care systems ranked on a cost and quality basis, layered on top of incentives for members to seek the right care at the right time. The state is doing quality management around diabetes and depression care right now, because everyone knows that 5 chronic diseases account for 70% of the health care spend.

Add a Comment1 Comments

Susan Cody HERWriter Guide

francine

This is really interesting information - thank you. The health care industry is in the middle of perhaps it's great upheaval yet. I'm capitalistic, by nature, I think. But I have never understood why health care and pharmaceutical industries are motivated primarily for profit. The healthcare company I worked for had it's slogan for the annual conference as "Business First" and many of us were shaking our heads. You can't even pretend that it's customer care first? Or patient first? I think it's possible (and ethical) to make some money in this industry. We all have to live, right? And hard work deserves good compensation. But when profit is the driving motivation of healthcare (specifically healthcare, because I don't consider it a business like any other - it is not) then everybody loses, except perhaps, those at the top. And that's not good enough.

October 7, 2009 - 12:03pm
Image CAPTCHA
Enter the characters shown in the image.
By submitting this form, you agree to EmpowHER's terms of service and privacy policy

We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

Improved

1628 Health

Changed

604 Lives

Saved

453 Lives
2 lives impacted in the last 24 hrs Learn More

Take Our Featured Health Poll

Do you believe more needs to be done to fix the health care system in the U.S.?:
View Results