Naturally, as it becomes harder to get members the care they need, plans are also struggling to hit the 80 or 85% medical loss ratio (MLR) required by the Affordable Care Act.
Take for example, UnitedHealthcare (UHC). The nation’s largest health insurer recently reported that its MLR dropped to 70.2% in the quarter ending June 30, compared to 83.1% at the same time last year, due largely to deferred care.
And we’re seeing a similar story at health plans across the country. Many plans have fallen well behind their MLR target. Many are waiving co-pays on certain services, and some are even issuing rebates.
But here’s the good news. There’s a lot you can still do to address deferred care and get members the care they need. For example, since reward and incentive investments count toward your MLR, member engagement programs optimized with rewards offer benefits on multiple fronts.
Download our guide to learn 5 actionable steps you can start today to drive care gap closure and hit your MLR target for 2020.
NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates consumers to complete high-value healthcare activities by leveraging its sophisticated engagement platform, proven loyalty and behavioral science strategies, and deep industry and regulatory expertise. Headquartered in Minneapolis, NovuHealth has worked with nearly 40 health plans and served nearly 15 million consumers across all 50 states. Learn more at novu.com.