Everise Insights

Data-Driven Insights to Improve Healthcare Insurance Enrollment During AEP, OEP, and SEP

Written by Everise | May 19, 2023

 

There are a variety of different tools that healthcare insurance executives can use to increase enrollment rates and achieve their comprehensive business goals. However, one resource stands out from the rest: data. 

Data-driven insights are among the most important and influential factors to consider during enrollment periods. Past data can influence future decisions, allowing you to make informed choices that align with your business objectives during crucial times throughout the year.  

Many insurance businesses rely on outsourcing for various data roles, especially so that their in-house team can focus on other priorities during enrollment periods. Choosing to outsource is a decision that can relieve stress, increase efficiency, save money, and give you access to specialized staff, so consider if it could be the right choice for your business. 

Importance of Data-Driven Insights 

Data matters. 

Data-driven insights are among the most powerful resources to take advantage of, especially when improving enrollment rates. By reflecting on past data, you can adjust your future strategy that align with policyholder goals and feedback. By taking advantage of data analytics and predictive modeling, companies can create informed policies and optimize enrollment rates. 

There are a variety of different benefits that can come from using data analytics and predictive modeling. From target audience identification to optimizing plan design, there are so many different ways that you can use data analytics and predictive modeling to inform decisions and optimize your enrollment period strategies. 

 

Outsourcing Data Analytics and Predictive Modeling 

There are a variety of different business areas that can be outsourced. It's essential to identify which areas would be most beneficial to growing your business so that you can get the best ROI possible and invest in the help that will help you achieve your goals. Many in-house teams don't have the expertise required to efficiently and effectively utilize collected data - in this case, outsourcing is the best option. 

Understanding some benefits of outsourcing data analytics and predictive modeling is one of the best ways to decide if it's right for your business. 

Increased Efficiency 

When it comes to sorting and processing data, efficiency is key. Working with outsourced staff means they'll have the necessary experience to process statistics proficiently. Training in-house staff for data roles can be expensive and time-consuming, so working with the right outsourcing partner means you'll have access to productive staff that understand what's required to handle data efficiently. 

Scalability 

Enrollment periods are unpredictable, which means your staffing needs may be as well. Many insurance businesses aren't exactly sure how their staffing needs will evolve throughout the enrollment period - outsourcing solves this problem. 

Choosing an outsourcing partner that prioritizes scalability means you can adjust your team throughout the enrollment period. This can relieve stress and ensure your business has the support it needs. 

Peace of Mind 

Enrollment periods can be stressful. There are so many different things that insurance executives need to consider, but staffing shouldn’t need to be one of those things. Outsourcing data analytics and predictive modeling means one thing that you can check off your list. 

When it comes to getting peace of mind from outsourcing, picking the right partner is essential. While outsourced options can be a great way to optimize efficiency and access scalable support, a few risks need to be considered. We'll discuss some of the risks of outsourcing in the following sections. 

Cost Savings 

Outsourcing makes sense for productivity, but it also makes sense financially. 

Working with the right outsourcing partner means getting specialized help that will save you money. Not only will you save time and money by not needing to provide extensive training, but you won't have to pay the costs associated with hiring full-time help for a data role. 

Expertise 

One of the biggest benefits of outsourcing is getting expert support. Outsourcing means you'll have access to a team of experienced employees who understand their role and how to succeed. 

Data analytics and predictive modeling can be incredibly challenging, making it difficult to train employees. If your in-house team doesn't currently have the skills required to effectively understand data-driven insights and predictive modeling, outsourcing could be the solution. 

 

Risks and Considerations of Outsourcing Data Analytics and Predictive Modeling 

Outsourcing data analytics and predictive modeling has many different benefits, but it's important to keep a few different considerations in mind. Let's dive into some common risks associated with outsourcing this type of work.  

Miscommunication 

Communication is often one of the most difficult parts of outsourcing. Especially if your new staff is not on-site, it can be challenging to communicate effectively and clearly. Miscommunication could have ramifications for your business, so it's important to have solid standards for communication laid out in writing before the work begins. 

Error 

As with all data projects, error is a possibility. One of the best ways to combat this potential risk is to choose an outsourcing partner with case studies and work examples. This will show you the quality level of work you'll receive and help you make an informed decision. 

Staff Implications 

Integrating outsourced staff into your in-house team can be challenging. During this process, it's important to make sure that everyone has a clear understanding of their roles and responsibilities. Doing this is one of the best ways to ensure the process is as smooth as possible and that your in-house team gets the support they need. 

Choosing a Potential Vendor 

Because there are some risks involved with outsourcing, it's essential to carefully evaluate potential vendors and ensure that you're selecting the one that makes the most sense for your needs. 

Some vendors have a specific benefit they specialize in, such as saving money or scalability. However, you shouldn't have to sacrifice important benefits. When you choose the right outsourcing partner, you'll get various benefits and the peace of mind that comes from being able to trust their staff. 

Vendor Considerations 

There are a few different things you should consider when you're evaluating potential vendors. Considering the following factors can help you narrow down your options and ensure that you're on the right track. 

Location 

Your outsourcing partner's location can significantly impact your working relationship. Some executives prefer to work with a local partner, while others don't consider location. 

If you are choosing an outsourcing partner farther away, consider asking them what their plan is for communication, timezone differences, and other similar situations. Being clear and upfront with potential vendors is the best way to ensure you get the support you need. 

Scalability 

As we mentioned previously, scalability is an important benefit of outsourcing. However, not all vendors place the same emphasis on this factor. Asking potential vendors about their scalability is important. 

For example, some outsourcing partners increase their staff before enrollment periods to ensure they can provide a high level of support if needed. Understanding a potential vendor's staff capabilities is one of the best ways to get a comprehensive idea of their offerings. 

 

Key Strategies for Outsourcing Data Analytics and Predictive Modeling

There are a few different things that you can do to set yourself up for success when it comes to outsourcing data analytics and predictive modeling. 

Identify Business Goals and Objectives 

Being clear with your outsourcing partner means having an outline of all the ways that they can provide support. One of the best ways to do this is to have defined business goals and objectives. 

Once you have your objectives in mind, consider considering how your in-house staff and your new outsourced team will make those goals a reality. 

Communication and Collaboration 

Establishing clear communication and collaboration channels is an essential component of outsourcing successfully. As we mentioned previously, it's important to have communication expectations laid out clearly and early in the process so that everyone's on the same page. 

Expectations and Success Metrics 

What goals do you want to reach by outsourcing? What work (and quality of work) are you expecting to receive? Answering these questions is a good way to define your expectations. It's essential to be honest and transparent with potential vendors about what your expectations are so that you can pick the partner that makes the most sense. 

When it comes to defining success, it's essential to consider your business. Success can mean different things depending on your goals and organizational structure, so consider reflecting on what success metrics make sense for your business. 

 

Leveraging Data-Driven Insights for Enrollment Improvement 

Personalized Outreach Strategies 

Personalization can set your business apart from the rest.  

Individualizing outreach strategies can help policyholders feel seen and heard, drawing them towards your plans and encouraging enrollment. By personalizing outreach strategies, your business will have higher chances of achieving its enrollment rate goals. 

When it comes to personalizing outreach strategies, data can be extremely helpful. Data analytics can help you decipher what strategies have worked well in the past and areas in which adjustments could be beneficial. 

Identifying Target Populations 

Before creating personalized outreach strategies, you need to understand the target populations you want to reach. Data analytics will enable you to recognize your target populations and give you information about what strategies they respond best to. 

Plan Design 

The ability to optimize plan design is one of the most important benefits that data provides. Plan design is one of the most important factors that enrollment rates rely on, so utilizing data to data-driven insights to influence plan design is one of the best ways to set your business up for success. 

 

Utilizing Data and Predictive Modeling 

When it comes to achieving business goals, it's essential that you take advantage of the opportunities data provides. If you're not sure how to utilize data and predictive modeling to improve your business, consider if outsourcing this area could be the right choice.  

By getting outsourced support in this area, you can efficiently optimize plan design and identify potential policyholders. Plus, you'll be able to save money and access skilled workers with years of experience. As you prepare for the next enrollment period, consider how outsourcing could help you achieve your business objectives.