Decision Support

 

Benefit Designs to Improve Member Decision Making:  When faced with a health care decision, does the member make the optimal choice, whether clinical, financial or resources?  In this presentation, we measure the activation through an index that we refer as the ‘Consumer Activation Indextm’ (the CAI was developed by UnitedHealthcare).   The goal of the CAI is to score relevant consumer decisions and outcomes as evidenced through claims and clinical activity tools, and if available, biometrics and lab results.

Consumer Decision Support StudyAs consumers become more involved with and responsible for their healthcare, payers have become increasingly interested in consumer decision support tools. To better understand how the consumer decision support market is evolving, Thomson Healthcare recently surveyed executives from large employers, health plans, and government health agencies to explore their utilization and satisfaction with consumer decision support tools. 

Healthcare & Social Networks: In this issue brief, we provide a snapshot of social networking’s evolution and explore its current and potential impacts on the health care industry. We believe that social networking is an important trend: Industry stakeholders who do not consider how to incorporate social networks into their future strategies risk being run over on the super-highway of health information sharing.

Social Networks, Web 2.0, & Healthcare Consumerism: Participatory information technology platforms can enhance the effectiveness of next generation Healthcare Consumerism. New Health Advocacy Program (HAP) strategies use various participatory Web-based approaches—aimed to engage end-users and accelerate behavior change. Innovative Web 2.0 aggregator/navigator platforms can engage participants to optimize Healthcare Consumerism savings of 9-21% and separately provide additional value-added savings of 2-4%. Web 2.0 and next generation “Health Advocacy Programs (HAPs)” can enhance financial successes as well as achieve better participant engagement and overall satisfaction.