What You Should Know:
– Ribbon Health (Ribbon), a leader in healthcare provider data management, today announced findings from a new consumer survey report, “How Health Plans Can Use Data to Unlock Better Care.”
– The research study conducted by OnePoll surveyed 1,000 consumers across the United States on their healthcare experiences and revealed that 62% of Americans do not trust their health plan when searching for care.
Americans’ Dissatisfaction with Health Plans
The American healthcare system has a long history of patient dissatisfaction. One major pain point lies in care navigation, as more than half of provider listings have at least one inaccuracy, leaving people with incomplete information and burdening their access to high-quality care. Ribbon’s research found that over one-third (38%) of people have had a negative healthcare experience due to incorrect provider information on their health plan’s website. When people have negative experiences finding care or are matched with the wrong provider, they are more likely to opt out of the healthcare system. This puts them at risk for worsening health and more costly care down the road, and increases future expenses for health plans.
“For decades, people have accepted inconveniences like not knowing how much their healthcare bill will cost or a lack of basic information about the provider treating them. Care seekers are just like consumers in any other industry, and they deserve insight into metrics like cost, reviews, quality ratings, and the many other important factors we consider when making a big purchase,” said Nate Maslak, CEO and co-founder of Ribbon. “This type of information is standard in other industries, and it comes as no surprise that Americans are craving better information in order to make informed healthcare decisions. Improved, transparent data provides an opportunity to connect people with providers and health plans they can trust.”
Key findings from the survey are as follows:
1. The study reveals that the most important factor in creating a positive healthcare experience is having a personalized health plan, as reported by 53% of respondents. Americans also value receiving care from doctors with good bedside manner (48%), feeling better quickly (38%), securing an appointment quickly (33%), and out-of-pocket cost (31%).
2. When it comes to searching for the right provider, almost half of respondents (49%) identified a provider’s level of experience treating their specific healthcare needs as the most important factor. The other top factors were convenient location (42%) and cost (40%).
3. According to Ribbon’s research, members need to see a few key changes in order to build trust with their health plan. A majority of respondents (66%) shared that they would have increased trust with their health plan with more accurate information on providers, meaning that people expect a centralized, accurate, and detailed source of truth and view this as a major factor in improving the quality of their experience.
4. Beyond accuracy, health plan directories often lack critical information on providers like cost and quality of care. Americans are increasingly searching for more inclusive and innovative health offerings, and 61% view provider information like demographics, quality ratings, and cost of care as “somewhat” or “very” important. With only 28% of respondents reporting that they are likely to use their plan’s website to search for a provider, health plans have an opportunity to implement technology and infrastructure behind the scenes that will create a seamless member experience on the front end.
With 30% of provider data churning every year, provider data management is not an easy problem to solve. Health plans must get ahead of member concerns to ensure retention and better understand what provider information is important to them, what factors will lead to increased trust in the system, and what data they view as key to driving personalized and inclusive care. This research report synthesizes findings directly from Americans and offers a roadmap for health plans to build better member retention and engagement through improved provider data infrastructure.