Care Coordination: The Building Blocks of Trust and Engagement
Member engagement is imperative for health plans to remain financially viable. When care coordination efforts are fully integrated with end-to-end engagement, the results benefit both members and the plan — closing gaps in care, improving member outcomes, and elevating quality scores. Current care coordination efforts are not optimized to build member engagement because they skip over a key element that should be seamlessly integrated throughout the member journey: trust building.
To enhance and optimize engagement, plans must create a foundation of trust with members and use every multichannel step of their healthcare journey as an opportunity to build the relationship. A foundation of mutual trust evolves plans’ now-fragmented clinical programs into optimized member engagement. When every touchpoint is coordinated with member outreach, plans can leverage every opportunity to intuitively and efficiently respond to member needs.
Care Integration Services (CIS) has engaged with over 5 million members, gaining deep insights into their behaviors, barriers, and needs. Through ongoing education and support, CIS has built a wealth of knowledge about what truly fosters trust—empowering members by addressing their questions and concerns with compassion and clarity.
Trust in health plans remains a critical challenge. In today’s digital-first environment, plans must work harder than ever to earn and maintain member trust—especially as AI and digital tools reshape the care experience. Through optimized clinical engagement strategies, plans can authentically connect with members to create long-term retention, behavior change and cost savings.
Members are unlikely to engage and even less likely to incorporate behavior change without a foundation of trust with their plan. Trust is also a two-way street. Once member trust is earned, the plan should also trust that the members will use their benefits as intended.
Understanding behavior changes in members as it relates to their potential conditions, risk, and gaps in care all fluctuate as trust is built. Finding the right course of action to educate members will help the change in behavior happen. Members are more likely to have their behavior influenced if trust is the foundation of the relationship.
Stages of trust building
The stages of trust building help define the building blocks of care coordination. Optimized care coordination solutions go beyond traditional outbound programs, which can fall flat without trust built from earlier touchpoints.
Stage 1: Connection
When a member first becomes aware of your business, they are looking for a plan that best aligns with their needs. This is where you can start to guide them from awareness to education, serving up high-level relevant content that piques their interest, establishes a connection and breadcrumbs their path towards more in-depth information as they need it.
Stage 2: Caution
After a member has become interested, they will proceed to educate themselves and others such as their spouse or business partner. This stage is where the most conversations happen before the member commits to a decision. For health plans, this is a great opportunity to build rapport with a potentially hesitant member through proactive outreach.
Stage 3: Consistency
As you learn and track more about a prospective member, you can begin to personalize engagement, at scale, using automation. Prospects in your system will have different preferences for what and when certain types of communications are needed. By tailoring outreach to match member expectations, you can establish a consistent line of communication and further establish trust. At the end of the day, members want to know their health plan remembers who they are and their individual needs.
Stage 4: Courage
Once a member makes the decision to convert or sign up for your plan, they are taking a risk. You can offer support and reassurance with the right outreach at the right time, such as an email featuring positive testimonials from other members to solidify their choice and make them feel comfortable. It’s ok to acknowledge and celebrate their big step forward.
Stage 5: Commitment
To be a business that stands out, you have to continuously meet your members where they’re at and thoughtfully engage with them throughout the entire customer journey. Members today like to do research and are regularly bombarded by other plan options. But if you’ve established trust over time and displayed commitment to getting members the best outcome, you’re making steps to strengthen the relationship. The member feels valued vs. like a number.
Making a meaningful connection
Members are empowered with more information and choices than ever. The stages of trust building are key to re-imagining clinical programs for a better consumer experience. But there is a value exchange that must happen today to generate engagement and establish lasting member relationships.
Each communication should be designed to help members accomplish a goal they couldn’t before or make a memorable connection. It could be a helpful tip, providing answers to some common questions you receive or a quick check-in to see how they’re doing.
With authentic, personalized outreach, you can better guide your members’ decision making. Instead of just selling them something, you can show them you understand their needs and can help them solve a problem. The right care coordination tools create a more efficient engagement environment, when bi-directional trust is the foundation.
Learn more about Conduent Care Management Solutions today.