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Prepare for Open Enrollment with Directory Accuracy

Provider directory accuracy leads to a positive experience for health plan members. But often overlooked is the importance of directory accuracy during open enrollment when both existing and prospective members are making choices for the upcoming year. Read on for open enrollment tips.

According to a recent eHealth survey, “Coverage for preferred doctors is a bigger consideration than affordable monthly premiums.” In fact, “31% of respondents say finding a plan that covers their preferred doctors or hospitals is their number one priority when choosing a plan.”

Inaccurate and incomplete directory information misrepresents health plan coverage, the leading priority for members during open enrollment. It also establishes an erroneous benchmark of user experience for enrollees — a first impression with your members should start on a good footing. 

With nearly half of Americans considering a change to their health plan during open enrollment, your plan could gain a competitive advantage by clearly demonstrating the breadth of accurate and comprehensive provider information in your directory. Furthermore, accurate directories will only continue to enhance the member experience once they choose a plan and begin contacting their newest practitioners. 

Open enrollment is right around the corner, but it’s not too late to make targeted changes that have the greatest impact on the member’s experience. Veda’s automation tool makes thousands of suggested changes to your directory in less than 48 hours. 

With nearly half of Americans considering a change to their health plan during open enrollment, your plan could gain a competitive advantage by clearly demonstrating the breadth of accurate and comprehensive provider information in your directory.

Value Penguin

Open Enrollment Tips for Provider Data Improvements 

Here are three open best practices and recommendations to quickly and strategically improve directory accuracy before November 1, 2023—and what to plan for in 2024 and beyond.

1. Make Segments: In lieu of whole directory changes, start small. Segment the directory with open enrollment priorities in mind. Veda recommends segmenting by market or specialty. 
2. Be Specific: Target the high-impact data elements within a segment to get the needed results before open enrollment. Think provider level data such as clearing out deceased or retired providers or location level like updated addresses.
3. Act Confidently: Grab the highest impact, highest confidence recommendations. Bonus: Implementing mass maintenance of high confidence scores can automate directory fixes eliminating administrative burdens almost immediately.

Armed with a directory diagnostic, you can confidently address critical directory errors resulting in improved directory accuracy.

Ready, Set, Go: Get a Provider Directory Diagnostic Snapshot