Member Transition

Displaced Group Members Represent Significant Revenue Opportunity

Skyrocketing unemployment rates and the related loss of commercial business are taking a toll on the balance sheets of most health plans. But according to McKinsey & Co., most health care payers convert less than 10% of members who move to a new product class.

Converting even a portion of displaced group members to individual policies provides a significant revenue opportunity for health plans.

Revenue Impact

To convert displaced members, health plans must contact and educate those members within a very limited timeframe. ConnextionsHealth provides health plans with a disciplined program that provides:

  • An employer-branded micro-site for members who are transitioning out of group coverage
  • Targeted telephonic outreach to provide education, information and guidance
  • Knowledgeable licensed agent support via phone, or online via click-to-call / chat

Our member transition process identifies members who are experiencing life cycle changes; contacts and educates those members regarding their insurance choices; and facilitates their decision making process.

Member Transition Process