Reprinted from HEALTH PLAN WEEK, the most reliable source of
objective business, financial and regulatory news of the health insurance
industry.
By Jane Anderson
October 9, 2017 Volume 27 Issue 35
Many
Medicare Advantage (MA) plans are relying on predictive modeling to power their
Annual Election Period (AEP) marketing, with use hitting all-time highs in 2015
and 2016. And that trend should continue, according to Cary Badger, principal
at HealthScape Advisors, LLC, in Chicago. Many insurers use response modeling
extensively, he says. “We are working with our clients to augment these
purchase behavior decision models with more analytical insights leveraging
their current MA membership — e.g., why did the current members join and who
are they? — to understand what changes AEP will drive into their membership for
the forthcoming year.”
This
also allows the plan to prepare post-enrollment member and patient engagement
strategies, including health assessments, chronic care management, and accuracy
of risk evaluations, he says.
“The
days of mailing everyone are long gone,” agrees Linda Armstrong, executive vice
president and practice leader for marketing firm DMW Direct in Chesterbrook,
Pa. “Predictive modeling is a part of all of our clients’ processing. Modeling
enables them to go as deep into a file as is profitable for them and is a
cost-effective way to keep mailing costs down.” For many clients, “we employ
different models for each touch. We have found that the model results change
between touches and using models based on the results of each individual touch
increases the response for each touch.”
Badger
says he urges plans not to get fixated on products and prices. “I go into these
meetings and they’re debating whether it would help to have a dollar advantage
on a copay,” he says. “They need to focus on the big picture.” Members prefer
consistency and don’t like changes in plan design every year, he says.
In
addition, plans “know their current membership really, really well,” and so
they should consider how they attracted those members and work to attract more
people like that. “If you know your customer base, you will be better off than
if you don’t.”
For
example, insurers should consider what the baby boom generation wants from
their insurer, which is much different than what prior generations have wanted.
Baby boomers want dental and vision coverage, and they especially want coverage
when they travel, he says.
https://aishealth.com/archive/nhpw100917-05?utm_source=Real%20Magnet&utm_medium=email&utm_campaign=118880997
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