Healthcare member experience and engagement
Member engagement and experience strategies help healthcare consumers actively participate in their care by enhancing their interactions with the healthcare system. By employing health information technology and communication platforms, payers can personalize care, streamline communication, and provide improved access to timely, appropriate and affordable services.
Top Stories
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News
27 Oct 2025
Do MA Star Ratings incentivize consistent quality performance?
Data shows MA plans move in and out of MA Star Ratings thresholds for lucrative bonus payments, suggesting a potential flaw in the rating system. Continue Reading
By- Sara Heath, Executive Editor
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News
23 Oct 2025
Family premiums for employer coverage jump 6% in 2025
Annual family premiums for employer-sponsored health insurance reached an average of nearly $27,000 in 2025, KFF's annual benchmark survey revealed. Continue Reading
By- Jill McKeon, Associate Editor
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News
21 Oct 2025
MA markets getting less crowded, but to minimal cost benefit
Medicare Advantage is getting more competitive, but less concentration has not yielded significant results for the Medicare program and its beneficiaries, according to a new study. Continue Reading
By- Jacqueline LaPointe, Executive Editor
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News
16 Oct 2025
Commonwealth Fund: Medicare member experience varies by state
State-by-state disparities in Medicare experiences are largely driven by the fragmented nature of the U.S. healthcare industry. Continue Reading
By- Sara Heath, Executive Editor
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Feature
14 Oct 2025
How payers can regain consumer trust via personalized care
Creating personalized health plans is central to regaining consumer trust. To do that, payers must outline safeguards for member data and create seamless experiences. Continue Reading
By- Sara Heath, Executive Editor
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Feature
09 Oct 2025
With trust low and costs high, do payers stand to lose members?
Healthcare payers might see fewer enrollments as members face higher prices for a product they don't trust or see as high value. Continue Reading
By- Sara Heath, Executive Editor
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News
17 Sep 2025
NCQA: 5-Star health plan performance nearly doubles for 2025
NCQA said there were 11 health plans that received a 5-star rating for the 2025 and another 55 that received a 4.5-star rating. Continue Reading
By- Sara Heath, Executive Editor
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News
03 Sep 2025
Health plans need human touch to boost member experience
The health plan member experience leaves much to be desired, but more humanized and empathic communication could begin to build trust. Continue Reading
By- Sara Heath, Executive Editor
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News
06 Aug 2025
Blue Shield of CA adds drug price transparency to member app
Blue Shield of California said the drug price transparency tool will promote a better consumer experience and enable comparison shopping for members. Continue Reading
By- Sara Heath, Executive Editor
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News
21 Jul 2025
As healthcare premiums rise, consumers might feel the pinch
Two reports detail healthcare premium hikes for 2026, which can impact consumers through higher costs and limited employer coverage options. Continue Reading
By- Sara Heath, Executive Editor
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Feature
09 Jul 2025
Key features of a health insurance member portal
Member portals will be key as health insurance companies adjust to healthcare consumerism and prioritize better member experiences. Continue Reading
By- Sara Heath, Executive Editor
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News
12 Jun 2025
Cigna to launch 6 new AI features in member portal
The payer is launching AI features to answer members' benefits and claims questions, track their costs and find healthcare providers and services that match their medical needs. Continue Reading
By- Anuja Vaidya, Senior Editor
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News
29 Apr 2025
Why member experience, healthcare costs are key for payers
Healthcare payers need to focus on broad issues like benefit design, engagement and digital strategies as they tailor a better member experience. Continue Reading
By- Sara Heath, Executive Editor
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News
22 Apr 2025
Digital member experience, app use low among health plans
Digital member experience trails other service sectors as health plan beneficiaries flag problems like poor navigation and information access. Continue Reading
By- Sara Heath, Executive Editor
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Feature
12 Mar 2025
How employers can promote preventive healthcare for members
Employers should examine their benefits, including those they don’t use, to assess how they can promote preventive healthcare access among employees. Continue Reading
By- Sara Heath, Executive Editor
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Feature
20 Feb 2025
What does member experience mean for health payers?
A better member experience is key for health payers working to improve consumer loyalty and support their financial bottom lines. Continue Reading
By- Sara Heath, Executive Editor