Improve Health Plan Member Retention with AI

Artificial Intelligence (AI) is revolutionizing how insurance organizations approach member retention.

Member retention is critically important for any insurance organization. Not only is it cost-effective to retain existing members, but it also helps to build a loyal and dedicated community. Leading insurance plans are turning to industry-specific AI to transform everyday customer interactions into actionable insights that drive superior excellence and member retention.

Retain Members by Listening to Their Root Causes and Needs

Insurance organizations are implementing AI-powered solutions to improve member retention and provide better customer service. With this innovative strategy, healthcare leaders can access the information needed to solve problems and enhance member satisfaction in the actual conversations that members are having with call center agents. Equipped with AI, large volumes of actual member conversations can be efficiently analyzed to identify patterns, trends, and insights that can help make informed, data-driven decisions.

These crucial insights include:

  • Analyzing pre-enrollment calls
  • Training agents to locate areas for improvement
  • Adjusting call guides and communication
  • Preparing with post-enrollment calls
  • Track special event enrollment calls

Insurance organizations can benefit from using AI for member retention by helping to identify the root causes of member issues. By analyzing member conversations, you can discover emerging trends and issues before they become major problems, enabling you to proactively identify and address high-risk members' needs, prevent issues from escalating, and improve member satisfaction and loyalty.

Member Retention and AI Create Action

Several factors affect an insurance organization's ability to retain members, and one of the most crucial is ensuring members feel valued and appreciated. You can achieve this through personalized communication, helpful resources, and seeking opportunities for engagement. Your members are talking—and AI can analyze the data hidden in real-time contact center conversations to provide context, surface trends, and flag problems your members are actively facing. 

In addition, it is important to provide members with ongoing value. Contact center leaders can use AI to expand agent training and coaching opportunities to serve members better and lead to higher retention rates. Members are more likely to remain engaged and committed to your organization if they are receiving ongoing value from agent quality, resources, educational opportunities, or events.

By focusing on making members feel heard, providing value, and improving their experience, organizations can build a loyal and dedicated community that will support their goals while meeting member outcomes.

3 Ways AI Helps Improve Member Retention

AI is transforming healthcare's approach to member care. With AI innovation, insurance leaders can improve member retention rates by:

  1. Aggregating real-time feedback from members to surface trends: Rather than struggling with feedback being an annual burden or facing difficulties in setting actionable metrics, AI provides proactive insights. Agents and leaders can quickly and efficiently gather member feedback by listening at scale in real time. Insurance organizations can identify their members' needs and wants and make the necessary adjustments to keep them satisfied and engaged.

  2. Identifying leading drivers of member attrition and negative sentiment: With proprietary, healthcare-specific machine learning and AI algorithms, organizations can analyze vast amounts of conversational data and pinpoint the root causes of member dissatisfaction. Insights found with AI automation enable proactive measures to address these concerns before they lead to member churn.

  3. Proactively monitoring adjustments intended to improve retention: With predictive analytics, you can forecast member behavior and anticipate their needs and friction points. This way, you can make targeted changes to your programs, services, and communications to keep your members engaged and loyal. 

Download our checklist for in-depth examples of how AI empowers health plan leaders to drive superior experiences and member retention.

Implementing an AI Solution to Drive Member Retention

AI is a powerful tool for reducing health plan member attrition rates. With Authenticx AI, member retention is possible by listening at scale, providing real-time feedback so you can proactively identify drivers of attrition and strategically invest in areas of your plan based on need. Request a demo to explore AI's potential impact on your insurance organization by helping solve health plan member retention.

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Whitepapers

Featured Webinars

>