25% of provider calls now automated














Interactive voice response phone systems are being used increasingly by health plans in their dealings with with providers, but much less so for interactions with members, according to a study by Capgemini. The consulting company surveyed health plans that cover more than 16 million lives about how much they are investing in information technology.

The discrepancy between provider and member usage of IVR systems might be "driven by concerns related to payoff, the nature of member calls and member satisfaction," the study says.

It also states that "plans with lower claims costs tend to experience higher member inquiry volumes related to claims issues and appeals/denials of payment. Higher claims inquiry volumes relate to longer call handle times and fewer calls closed through interactive voice response."

Average percent of calls resolved through interactive voice response

SOURCE: RESULTS OF THE 2002 MANAGED CARE BENCHMARKING STUDY, CAPGEMINI (2003)

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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