{"id":46464,"date":"2021-02-02T18:27:34","date_gmt":"2021-02-03T02:27:34","guid":{"rendered":"\/us\/en\/blog\/?p=46464"},"modified":"2024-11-25T04:59:17","modified_gmt":"2024-11-25T12:59:17","slug":"7-reasons-healthcare-payers-need-better-collaboration-tools","status":"publish","type":"post","link":"\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/","title":{"rendered":"7 reasons healthcare payers need better collaboration tools"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Collaborative communication is essential for getting work done for any busy organization. At a time of exponentially increased healthcare demand, it\u2019s imperative for healthcare payer organizations to facilitate fast and secure collaboration. The right tools are critical for interdependent teams like claims, benefits, enrollment, and others to stay connected and support business operations. In this post, we\u2019ll explore how a comprehensive set of tools enable healthcare payers to provide better member experiences as well as improved relationships with partners.<\/span><\/p>\n<h2><b>The best collaborative communication tools for healthcare payer organizations<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There are many software products on the market that bill themselves as collaboration tools. However, that doesn\u2019t mean that they allow for collaborative communications.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A modern, cloud communications platform, on the other hand, does. A well-designed communications platform is an integrated suite of collaboration tools, including messaging,\u00a0 video, and phone solutions. It allows healthcare payer organizations to easily share information with members, providers, and other strategic outsourced partners.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are a number of reasons healthcare payer organizations need better collaborative communication tools:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They make it easier to exchange information\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They make it easier to share information securely<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They facilitate better healthcare outcomes for members<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They allow healthcare payers to create innovative, valuable programs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They create a personalized experience for members<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They save money and support flexible workforce structures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They play a role in making the payer-provider-member relationship less adversarial<\/span><\/li>\n<\/ul>\n<h3><b>Cloud communications platforms make it easier to exchange information<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">One of the biggest benefits of cloud communications platforms is that they make collaborative communication easier. Because these communications platforms support a number of communication modalities, partners and members have the flexibility to connect with payer organizations in their preferred manner.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Communicating with payer organizations can be challenging for partners and members. A 2017 survey revealed that while\u00a0<\/span><a href=\"https:\/\/www.hcinnovationgroup.com\/policy-value-based-care\/news\/13028843\/better-communication-tools-needed-to-support-payerprovider-collaboration-survey-finds\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">60% of payers<\/span><\/a><span style=\"font-weight: 400;\"> preferred to use online portals as their primary means of communicating with providers, only 39% of practice-based providers and 40% of facility-based providers wanted to communicate with payers in that way. RingCentral\u2019s healthcare communications platform enables providers and members to reach out to payers both when and how they want to, thanks to messaging, video, phone, secure chat, voice, and <a href=\"https:\/\/www.ringcentral.com\/contact-center.html\">contact center<\/a> capabilities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/p>\n<section class=\"show-demo\">\n<div class=\"title\">\n\t\t\tCollaborative toolkit essentials for healthcare payers\t\t<\/div>\n<div class=\"flex-container button-container {{ $description ?: 'spacing' }}\">\n<div class=\"flex-container description\">\n<div>\n\t\t\t\t\tThis checklist details what collaborative communication tools a well-designed cloud communications platform should include.\t\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"button-wrapper\">\n                                            <button onclick=\"window.open('https:\/\/netstorage.ringcentral.com\/documents\/ringcentral-collaborative-toolkit-essentials-for-healthcare-payers.pdf', '_blank'); return false;\" class=\"show-demo-button\" data-dl-name=\"show-demo\" data-dl-element=\"button\" data-dl-additional-info=\"show demo button\" data-no-auto-dl=\"true\">Learn more<\/button>\n                                    <\/div>\n<\/p><\/div>\n<\/section>\n<p>\t<\/span><\/p>\n<h3><b>HITRUST CSF certified communications make it easier to share information securely<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The healthcare industry is bound by stringent privacy legislation that makes secure information sharing crucial. Yet, when payers cannot effectively exchange information, or have all of the information they need, they may make decisions about payments that don\u2019t benefit the patient or provider.<\/span>\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5618176\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Government research<\/span><\/a><span style=\"font-weight: 400;\"> shows that payers have sometimes delayed payments, micromanaged care, rationed care, litigated, and engaged in brinkmanship.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With a HITRUST CSF certified cloud communications platform, providers can share information securely with payers so that payers understand the patient\u2019s needs. A HITRUST CSF certified cloud communication platform meets\u00a0<\/span><a href=\"https:\/\/www.ringcentral.com\/us\/en\/blog\/what-hitrust-certified-communication-solutions-mean-for-your-healthcare-facility\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">HIPAA security standards<\/span><\/a><span style=\"font-weight: 400;\"> to ensure that information is protected from end to end. The ability to transmit information safely enables providers to share patients\u2019 information with payers, so payers can better understand why a treatment is necessary.<\/span><\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-46466\" src=\"\/us\/en\/blog\/wp-content\/uploads\/2021\/02\/payer-collaboration.jpg\" alt=\"RingCentral for healthcare payers\" width=\"930\" height=\"606\" \/><\/p>\n<h3><b>Cloud communications platforms facilitate better healthcare outcomes for members<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When payers, providers, and <a href=\"https:\/\/www.ringcentral.com\/us\/en\/blog\/bpo-call-center\/\">outsourced BPO<\/a> partners work together, members have better healthcare outcomes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the past several years, there have been some innovative projects in which payers and providers have worked with members to improve their healthcare outcomes. A project in Minnesota between a healthcare facility and an accountable care organization\u00a0<\/span><a href=\"https:\/\/aligningforhealth.org\/integration-in-action\/best-practices-and-research\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">reduced hospital admissions by 16%<\/span><\/a><span style=\"font-weight: 400;\"> and emergency department visits by 35%. One of the driving forces behind this collaboration was technology that easily allowed providers and the payer to share information with each other.<\/span><\/p>\n<h3><b>Cloud communications platforms help payers create innovative, valuable programs<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Another way in which payers can benefit from implementing cloud communications is by creating valuable, innovative programs that help members and providers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An example of one program is that payers could send automated notifications to their members to promote the need for immunizations during flu season. Immunizations play an important role in reducing doctor\u2019s visits as well as more serious medical needs (such as emergency department visits and hospitalizations). Cloud communications platforms enable payers to manage these types of programs and encourage healthy lifestyles for their members.<\/span><\/p>\n<h3><b>Cloud communications platforms create a seamless experience\u00a0 <\/b><b><br \/>\n<\/b><b>for members<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The relationship between members of health plans and payers can often be fraught. As mentioned earlier, payers have a history of denying patients\u2019 claims or not paying them in full, fostering distrust and dislike. However, cloud communications could help change that relationship.<\/span><\/p>\n<p><a href=\"https:\/\/www.fiercehealthcare.com\/hospitals\/industry-voices-how-loss-coverage-changing-patient-financial-communications-during-covid\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Cloud communications platforms<\/span><\/a><span style=\"font-weight: 400;\"> include contact center capabilities. With these capabilities, payers can create a single point of contact in the billing department so members can connect with one person who handles their case (rather than being shunted from one customer service representative to another). Members feel as though they\u2019re not just another number to the payer, which improves their relationship with the organization.<\/span><\/p>\n<h3><b>Cloud communications platforms can save money<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In the US, private health plans alone spend\u00a0<\/span><a href=\"https:\/\/www.fiercehealthcare.com\/payer\/industry-voices-3-ways-payers-can-reduce-administrative-costs\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">$158 billion annually<\/span><\/a><span style=\"font-weight: 400;\">; administrative costs per month average 17.8%. Much of these administrative costs are due to manual processes, especially when it comes to claims approval.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cloud communications platforms can help lower costs for payers by streamlining authorization processes. By utilizing direct routing rules for benefit authorization calls, network providers can more efficiently reach utilization review teams to authorize treatments and save time and money.<\/span><\/p>\n<h3><b>Cloud communications create better relationships between payers, partners, and members<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The relationship between payers, partners, and members of health plans has long been adversarial: payers are painted as the bad guys for refusing to fund treatment that providers believe is essential for patients. A lack of transparency contributes to the negative view patients and providers hold of payers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cloud-based collaboration tools help deliver timely information and increase transparency by making it easier to share information between payers, providers, and members. They facilitate collaborative communication so information sharing can take place and better decisions can be made.<\/span><\/p>\n<h2><b>RingCentral\u2019s cloud communications platform: boosting collaborative communication for payers<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">RingCentral\u2019s cloud communications and contact center technologies enable secure and <\/span><span style=\"font-weight: 400;\">simple collaborative communication between payers, providers, and members, leading to better outcomes for all.\u00a0<\/span><a href=\"https:\/\/www.ringcentral.com\/payers\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">See how cloud communications can transform your payer organization. Request a demo.<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Collaborative communication is essential for getting work done for any busy organization. At a time of exponentially increased healthcare demand, it\u2019s imperative for healthcare payer organizations to facilitate fast and secure collaboration. The right tools are critical for interdependent teams like claims, benefits, enrollment, and others to stay connected and support business operations. In this &#8230;<\/p>\n","protected":false},"author":292,"featured_media":46465,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18674],"tags":[7542,7187,1682,17584],"class_list":["post-46464","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare","tag-collaboration-tools","tag-communications-system","tag-healthcare","tag-member-experience"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v19.3 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>7 reasons healthcare payers need better collaboration tools | RingCentral Blog<\/title>\n<meta name=\"description\" content=\"Do you agree that healthcare payers need better tools? Here are 7 reasons why cloud communications like RingCentral can transform your payer organization.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ringcentral.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"7 reasons healthcare payers need better collaboration tools\" \/>\n<meta property=\"og:description\" content=\"Do you agree that healthcare payers need better tools? Here are 7 reasons why cloud communications like RingCentral can transform your payer organization.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ringcentral.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/\" \/>\n<meta property=\"og:site_name\" content=\"RingCentral Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ringcentral\" \/>\n<meta property=\"article:published_time\" content=\"2021-02-03T02:27:34+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-11-25T12:59:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ringcentral.com\/us\/en\/blog\/wp-content\/uploads\/2021\/02\/payer-communications.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"930\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Lance Mehaffey\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ringcentral\" \/>\n<meta name=\"twitter:site\" content=\"@ringcentral\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lance Mehaffey\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/#article\",\"isPartOf\":{\"@id\":\"\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/\"},\"author\":{\"name\":\"Lance Mehaffey\",\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/#\/schema\/person\/a6b1815c7d4a150371b61ed482d66f5e\"},\"headline\":\"7 reasons healthcare payers need better collaboration tools\",\"datePublished\":\"2021-02-03T02:27:34+00:00\",\"dateModified\":\"2024-11-25T12:59:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/\"},\"wordCount\":1067,\"publisher\":{\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/#primaryimage\"},\"thumbnailUrl\":\"\/us\/en\/blog\/wp-content\/uploads\/2021\/02\/payer-communications.jpg\",\"keywords\":[\"collaboration tools\",\"communications system\",\"healthcare\",\"member experience\"],\"articleSection\":[\"Healthcare\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/\",\"url\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/\",\"name\":\"7 reasons healthcare payers need better collaboration tools | RingCentral Blog\",\"isPartOf\":{\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/newrcblog.wpengine.com\/us\/en\/blog\/7-reasons-healthcare-payers-need-better-collaboration-tools\/#primaryimage\"},\"thumbnailUrl\":\"\/us\/en\/blog\/wp-content\/uploads\/2021\/02\/payer-communications.jpg\",\"datePublished\":\"2021-02-03T02:27:34+00:00\",\"dateModified\":\"2024-11-25T12:59:17+00:00\",\"description\":\"Do you agree that healthcare payers need better tools? 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