In the healthcare sector, effective member engagement is vital for care coordination and improving outcomes. Despite significant investments in digital tools such as telehealth, healthcare payers struggle with adoption due to discrepancies between member needs and available functionalities. Barriers such as demographic differences and limited technology awareness hinder widespread adoption. However, there has been a notable increase in digital channel usage post-COVID-19, although interactions remain largely transactional. Member engagement technology enables data analysis, communication, and self-service but requires improvement to foster more proactive engagement. Members increasingly seek transparency, cost estimates, and wellness information from health plans, with growing interest in wellness management apps. .
In this research, we assess start-ups that offer member engagement solutions, focusing on their capabilities and market impact, based on Everest Group’s analysis of exponential technology companies. The report provides insights into the evolving landscape and opportunities for health plans to enhance member engagement and healthcare delivery..
