Why Your Mobile Workforce Needs On-The-Go Benefits

Why Your Mobile Workforce Needs On-The-Go Benefits

In the air or on the road— many of today’s workers are often on-the-go. In the last decade, the smartphone has given employees constant access to their company’s internal systems and has changed the workplace forever.  Direct access to emails, video conferencing, and internal office apps have created instant communication. Companies like WeWork have even given employers the ability to virtualize their offices. Whether it’s a jet-setting programmer or a sales team that is prospecting new potential clients, a mobile workforce can be found in nearly every industry. And as companies cut ties with their offices in the wake of the COVID-19 pandemic, that change is likely to accelerate. A A 202 Gallup report found that 33% of Americans are now always working remotely, and 25% are sometimes working remotely; about two-thirds of remote workers want to continue to work that way. 

Having a mobile workforce unleashes productivity by being located closer to where the employee is most productive and saving them commute time. It also translates into less office expenses for the employer. According to a report by The Economist, employees who identified their organization “pioneers” in the use of mobile technologies scored 16 percent higher for productivity than others who described their organization’s use of mobile technology as “bad.” If a company wants to succeed, embracing a mobile-first outlook including employee benefits is the way to go.

Just as their frequent flier miles, hotel reservations and restaurant recommendations are moving to app-based platforms, employee benefits and healthcare access is also shifting to accommodate the needs of mobile workforces. Mobile employees are often not in one place all week, meaning that scheduling even the most basic doctor’s check-up can pose some difficulty. That is why mobile healthcare access on the move is essential. Employees will love having mobile access to their benefits and healthcare providers. It is an easy way to find in-network and online doctors at any given location. With more employees joining the mobile workforce, providing mobile benefits access to employees is beneficial for employees health and for employers it also means less sick days.

A mobile workforce leaves home base often

Most people’s primary care physician is near their home for the sake of convenience. If a worker isn’t near home for most of the week, it will be difficult for them to access a consistent group of providers on a regular basis. Therefore, when they inevitably need to seek care while in another part of town or city, they may be at a complete loss of which provider to choose. They’ll be unfamiliar with the doctors in that location, and there is no comprehensive online resource to give them trustworthy recommendations. Without a reliable source of help, they will be prone to the many pitfalls of selecting the wrong doctor.

A healthcare guidance platform can save the day through the expertly crafted provider and facility recommendations that can you can access through a mobile app. These platforms enlist healthcare concierges to research and recommend physicians, dentists and other healthcare providers for needed services based on in-network status, quality, cost and availability information. Mobile workers in an unfamiliar state can become more informed about the top nearby provider options than even a local resident who doesn’t have the service. Essentially, these systems help workers who have been uprooted from their home base location to be knowledgeable about the healthcare offerings around them no matter where they happen to be.

Some mobile workforce members, however, don’t even have the luxury of being on the ground to visit a doctor in person. Frequent-flyers or road warriors will need telemedicine that enables them to access online physicians wherever and whenever they need care. Through telemedicine, workers can consult a doctor over the phone, via video, or through chat 24/7. A flight attendant with a digestive issue might typically try to ignore the problem because they know they won’t have the ability to see a doctor anytime soon. With access to telemedicine, within minutes the flight attendant can open an app and chat with a board-certified physician who can help them diagnose the issue and give them medical recommendations that improve their health right away, they can even get a prescription written that they can pick up at an airport pharmacy.

A mobile workforce has a tight schedule

On-the-go workers have a busy lifestyle. They have tight schedules with back-to-back calls, client meetings or connecting flights to get to.  The lifestyle of traveling workers calls for a quick and efficient solution to health needs that fits into their schedule. With healthcare guidance, employees save hours upon hours of precious time with advice at every step of the process. Healthcare concierges will research to find the right provider and so much more, so members don’t have to. When applicable, the user will be guided to an online doctor consultation so that they don’t waste unnecessary time and money in waiting rooms or commuting to the doctor’s office. Users also have the option to chat with doctors on-demand, to answer quick questions. They will even manage the user’s insurance coverage to inform them of the cost of treatment and ensure that they recommend providers that are in-network. On top of that, a healthcare concierge will even schedule appointments for the member. If they ever lose track of their scheduled appointment they can send a simple text message to find it. All that’s left for the user to spend time on is receiving high-quality care and advice from their medical provider.

They need to navigate narrow networks

A significant obstacle faced by the mobile workforce is finding providers that are in-network and eligible for coverage under their insurance plan while on the road. People are unclear about what types of services and doctors are included in their coverage, to begin with, and it is even more daunting to ask these questions in an unfamiliar state. Luckily, healthcare guidance platforms act as an all-in-one benefits platform, so all of a worker’s insurance coverage status and details are available in one app. Healthcare concierges are experts in navigating the insurance world and will only deliver provider recommendations that are in-network. Mobile workforce members will no longer have to be careful on the road due to narrower networks that vary state-by-state but can rest assured that they are being led to the best providers their insurance coverage has to offer.

They require more effective communications

Since the mobile workforce is not grounded, they can’t rely on the large packets of benefits info that arrives in their mailboxes. They need to be able to access benefits information conveniently through the cloud and healthcare guidance platforms offer just this. Not only do users have access to an online benefits wallet containing essential information from all of their insurance carriers, but they can also track their real-time deductible spend, HSA/HRA/FSA/401k account balances, and coverage levels in an easy to understand, simple format that they carry with them wherever they are. Understanding benefits has never been so painless and convenient.

Healthcare guidance platforms will even go the extra mile to communicate relevant messages to employees through smartphone push notifications and chats. They will remind users of gaps in care and unused services and provide ongoing education about their plan benefits. For traveling employees who have a lot on their mind, these consistent reminders are invaluable and help them take maximum advantage of all the benefits provided by their employer.

A prime example of valuable information that healthcare guidance platforms will communicate to users is prescription savings. They will complete a prescription savings review to find savings on a user’s medication and lead them to the best place to visit for their Rx needs. The review will match the member’s plan formulary with potential saving opportunities and complete research on nine key areas, such as therapeutic alternatives, manufacturer coupons and generic alternatives. Even in an unfamiliar city, workers will be able to know precisely where to pick up their medications and they will be notified when savings are available. That way users can minimize their efforts while maximizing savings and convenience.

All in all, mobile workforces have unique constraints on their ability to access medical care and modern app and cloud-based platforms must be leveraged to help meet their health needs as employees. It only makes sense that an on-the-go worker needs on-the-go benefits access. A healthcare guidance platform might be the perfect remedy to a traveling worker’s car sickness.

telemedicine and hdhp
Telemedicine Benefits Guide

Telemedicine use is growing at an exponential rate. In this guide, we’ll share our best tips on how to make this underutilized benefit work better for your company.

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How AI is Impacting Healthcare & Employee Benefits

How AI is Impacting Healthcare & Employee Benefits

It seems that everyone these days is throwing around the terms “artificial intelligence” and “machine learning.” Companies without a single programmer on staff are issuing press releases touting artificial intelligence (AI) as if the term were fairy dust that could magically improve their product. But what are AI and machine learning, and how is AI impacting healthcare and employee benefits?

These technologies are rapidly changing industries, and the productivity implications are profound. According to a report by PWC, global GDP will increase 14% by 2030 – an additional $15.7 trillion – due to the integration of AI. Before we go into how AI is impacting employee benefits, let’s discuss what AI and machine learning are.

What are AI and Machine Learning?

With traditional methods of programming, you write instructions for a computer to process input, and the computer produces some output. For example, a car insurance company might calculate your rates by getting input about your driving history, age, car type, zip code and more. The program will then take this input and estimate risk based on the instructions provided and give you the cost of your insurance. With a machine unsupervised learning model, you wouldn’t give a computer a specific set of instructions but instead provide old application data with resulting claims data. The computer would then figure out risk probability and price it accordingly. This learning model would continue to get better over time with more data coming in.  

Machine learning is a type of AI that was created to help analyze massive data sets that would be impossible for a human to work on alone. Machine learning is self-improving, so the results get better over time as more data becomes available. This is one of the reasons that companies like Facebook are investing in these technologies; they want to improve advertising targeting based on likes and interests.

AI is a broader concept that involves machines performing different tasks that are characteristic of human intelligence. This would include things like understanding language (NLP), recognizing objects (CNN’s), general problem solving and learning.  Programmers categorize AI as either general in scope or narrow. General would involve all the functions mentioned above in one grand program while narrow is a more focused use of the technology. These days, the use of narrow AI is more common as programmers want to limit the scope of a project. People select specific tasks to make more intelligent and look to make incremental improvement.

How AI is Impacting Healthcare Today

With the hype around AI, people seem to expect a momentous business change to happen in an instant. This might occur in specific cases like medical imaging, which is a perfect narrow problem for AI to solve, but in general AI is going to have a significant impact as a series of smaller changes that will add up to something more meaningful. Here are a few changes we are seeing today that are impacting employee benefits and healthcare:

  • Customer service – We use AI with our in-house, custom-built member relationship management system that our healthcare concierge team uses every day. Our AI system can make text chat recommendations, which our Concierge can select and edit as needed, to speed up service. The AI makes recommendations based on claims data, if available that the Concierge should be aware of. In one situation, AI saves a few seconds when we are providing service. In the other, it helps us improve the quality of our service.
  • Claims Analysis – Every time a member uses their health insurance, there is more insight to be derived from their total claims data. This claims data is perfectly suited to analysis by AI. Medical and Rx claims, biometric screening, and onsite clinic information can all be analyzed to understand someone’s health and provide possible recommended action. For example, if a member has been on a medication for years and a generic alternative comes into the market, our system might recommend a switch to save money.
  • Member experience – Virtual assistants like Siri, Alexa and JOY all use artificial intelligence to deliver their experience in many different ways. Our application uses machine learning when processing photos and visual information. We continue to invest in R&D to add AI to more functionality and improve our experience.

  • Eligibility files – We’ve talked about how we are using AI for eligibility file management in BenefitsPro in the past. Dealing with large imports is the perfect use case for AI.

Healthcare is complex with many moving parts. Adding AI will improve each area incrementally, and the sum of these improvements will lead to huge leaps in productivity. We are striving every day to streamline things for our clients, resulting in better service at lower costs.

Why It’s Critical To Have Medical Bills Reviewed

Why It’s Critical To Have Medical Bills Reviewed

It may feel like second nature to review your cell phone, credit card, and internet bill for mistakes. Reviewing your medical bill, however, often feels like a near-impossible task. They are notoriously indecipherable and written with confusing codes, leaving you unsure of what you’re being charged for, how much is due, and where to get help. Even though you’re well aware of today’s inflated medical prices, trying to double-check your bill can be so confusing that it’s easier to pay the charges as long as they’re not grossly unreasonable. By doing so, however, you’re highly likely to be paying for services you never used, visits you never had, and many other flukes. The vast majority of medical bills contain some errors, deeming having medical bills reviewing a necessary step for all patients. Although there hasn’t been a comprehensive study on medical bills, Professor Stephen Parente, of the University of Minnesota has studied medical billing and estimates that 30% to 40% of bills contain errors.

What’s Wrong With Healthcare Billing?

Because of the variation in healthcare coverage between different insurance carriers, there is no such thing as a typical medical bill. For this reason, medical bill errors are not systematic or predictable. They may occur as duplicate charges, charges for canceled procedures, balance billing, and upcoding, where they charge you for a more serious/costly procedure than the one you received. All of these are due to the complex coding system that is used by providers to classify diseases and procedures. This code makes it easy to make mistakes, miscommunicate, and end up inputting a code for a more expensive procedure.

Still, other issues arise from purely administrative errors, like having typos or incorrect patient information or sending the bill to the wrong insurance company. Both can result in insurance companies rejecting the claim, leaving employees with an unaffordable bill. We see these issues every day.

Luckily, there is a foolproof remedy to combat these types of costly mistakes. The easiest way to protect employees and their wallets from inaccurate medical charges are to have a service that reviews and negotiates bills on their behalf. Sure, you can teach employees how to search for billing errors on their own, but the process is so tedious and time-consuming that it would undoubtedly lower their productivity at work. Most people prioritize health and wellness over their job, thus securing employee’s healthcare services and costs is a necessary precursor to maintaining fully engaged workers. There are countless advantages offered by a medical bill review service– ROI and peace of mind are just the beginning.

Negotiating out-of-network fees

It’s a common practice for insurance carriers to perform “backroom deals” with particular doctors and hospitals to negotiate favorable rates in return for directing patients to their services. What results is a configuration of “in-network” and “out-of-network” providers, unique to each insurance carrier. Receiving care from an out-of-network provider comes with costly financial consequences since insurance carriers are trying to make it as hard as possible for patients to leave the network.

If you’ve seen a doctor that happens to be out of your insurer’s network, then you’ll most likely find yourself with a ridiculously steep medical bill. Luckily, the story doesn’t have to end there. Outrageous out-of-network fees can be negotiated down to reasonable levels. Many providers expect that their fees will be discounted and negotiated, so it is up to the consumer and the bill review service to do act on a bill that is higher than expected. Medicare payouts provide a baseline that can be a starting point in negotiations since they are public and widely accepted – even by the provider doing the billing sometimes.

A bill review service can help you do so by making a convincing argument for your case to be paid at an in-network rate. Health plans are open to negotiation, but the reality of this process is that it’s time-consuming and involves phone calls, emails, and letters to be sent back and forth with the carrier. It is much easier to leave this process to a team of experts, who have the experience and know-how that is necessary for working with medical providers and carriers to achieve various discounts and deals within a contract.

Room for Negotiation

An advocacy service can use several strategies to negotiate to pay for out-of-network care at in-network rates. First, they can discuss a patient’s cost-sharing, which includes their deductible and coinsurance rates. Deductibles are usually higher for out-of-network care. Besides, the money you contributed to an in-network deductible may not count towards the out-of-network deductible, meaning you have to start from scratch when purchasing care from an out-of-network provider. Negotiating to pay for care at in-network deductible and coinsurance rates can, therefore, contain costs significantly.

Secondly, they can challenge “balance billing” practices, which many health plan contracts prohibit. Balance billing is when a medical provider bills you for charges that your insurance carrier did not cover. This often occurs because the price for a procedure surpasses what insurance carriers deem reasonable and customary for that given procedure. Because of carriers’ refusal to pay bills exceeding a certain amount, patients end up having to pay a sizeable out-of-pocket bill. Healthcare advocacy services will help patients by re-negotiating what is “reasonable” for the carrier to cover and will work with the care provider to settle on a lower cost for the procedure.

Getting Medical Bills Reviewed is Effortless for Patients

In the smartphone era, saving money through medical bill review is as quick and easy as taking a picture with your phone camera. Fax machines and scanners are unnecessary when you can complete the entire process with your smartphone’s camera and an app.

With medical bill review in today’s world, a patient submits their bill to an advocate immediately after they find a higher than expected medical bill. A medical bill expert will then review the information and set up a consultation with the patient. During this discussion, the concierge will help the user understand the situation and will collect more information from them if necessary. When it appears that a billing error occurred, the concierge begins the negotiation process with providers on the patient’s behalf. They don’t stop until they have a revised bill or a clear explanation of charges. This process may entail calling the carrier, the provider, and the central billing office. Frequently, multiple calls to each of these parties are required, meaning the patient saves hours by entrusting the negotiation process to the support team.

Using a medical bills reviewed is the simplest way to ensure employees aren’t overpaying for medical care. Whereas traditional services will have an employee fax, scan or email a medical bill for review, modern advocacy platforms will make the process quick and easy. Once employees realize how painless the process of lowering their medical bill is, there will be little stopping them from using the service. Finally, medical bill review services will reach out to members and recommend that they consult the service prior to future visits so that they can be steered towards the most cost-effective care decisions and avoid excessive fees. The best way for a patient to make educated care decisions, after all, is to be fully aware of the cost of care before using the service.

Because a medical bill usually brings up more questions than it answers, having an expert advocating on your behalf can be the difference between a bank-breaking fee and a reasonable, predictable expense. Medical billing services at part of a healthcare guidance platform make things simple and easy for members to use.

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<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' > <div class='gform_heading'> <h3 class="gform_title">State of the Benefits Survey eBook - 1-Col</h3> <span class='gform_description'>Testing form</span> </div><form method='post' enctype='multipart/form-data' id='gform_1' action='/blog/2018/10/' > <div class='gform_body gform-body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_8' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large' placeholder='First Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_9" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_9' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='large' placeholder='Last Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_4' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_4' id='input_1_4' type='text' value='' class='large' placeholder='Email' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_5' >company name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='large' placeholder='Company name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_6' >Company Size<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_1_6' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Company Size</option><option value='1-100' >1-100</option><option value='100-500' >100-500</option><option value='500-3000' >500-3000</option><option value='3000-1000' >3000-1000</option><option value='10000+' >10000+</option></select></div></li><li id="field_1_7" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_7' >Which Best Describes You?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Which Best Describes You?</option><option value='Employer' >Employer</option><option value='Benefit Consultant' >Benefit Consultant</option><option value='TPA' >TPA</option><option value='PEO' >PEO</option><option value='Other' >Other</option></select></div></li></ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Get Your eBook' onclick='if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; jQuery("#gform_1").trigger("submit",[true]); }' /> <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='1' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsImFkODg5MTk3ZmY1MDIyZGVjZjEyNWI2ODk1Y2YyMGZiIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div>
[gravityforms id=9]
<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_9' > <div class='gform_heading'> <h3 class="gform_title">10 Benefits Presentation Tips from TED Talks eBook - 2-Col (Pop-up)</h3> <span class='gform_description'></span> </div><form method='post' enctype='multipart/form-data' id='gform_9' action='/blog/2018/10/' > <div class='gform_body gform-body'><ul id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_below'><li id="field_9_8" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_9_8' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_9_8' type='text' value='' class='large' placeholder='First Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_9_9" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_9_9' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_9_9' type='text' value='' class='medium' placeholder='Last Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_9_4" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_9_4' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_4' id='input_9_4' type='text' value='' class='medium' placeholder='Email' aria-required="true" aria-invalid="false" /> </div></li><li id="field_9_5" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_9_5' >Company name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_9_5' type='text' value='' class='medium' placeholder='Company name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_9_10" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_9_10' >Company Size<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_9_10' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Company Size</option><option value='1-100' >1-100</option><option value='100-500' >100-500</option><option value='500-3000' >500-3000</option><option value='3000-1000' >3000-1000</option><option value='10000+' >10000+</option></select></div></li><li id="field_9_7" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_9_7' >What Describes You?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_9_7' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>What Describes You?</option><option value='Employer' >Employer</option><option value='Benefit Consultant' >Benefit Consultant</option><option value='TPA' >TPA</option><option value='PEO' >PEO</option><option value='Other' >Other</option></select></div></li></ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_9' class='gform_button button' value='Get Your eBook' onclick='if(window["gf_submitting_9"]){return false;} window["gf_submitting_9"]=true; 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