WHAT IS DISRUPTION?

One of the main reasons employers consider changing their benefits is to improve financial outcomes for the company and its employees. A disruption report is one of the best resources for evaluating the impact of changing networks. 

The impact of disruption on employees can be felt in two ways:

  • Financial: if they stick with their current provider, who is now out-of-network under their new insurance, out-of-pocket costs will be higher. 
  • Loss of familiarity: if they change providers they will have to get comfortable with a new provider.

 

Disruption Reporting Challenges

Efficient, effective disruption reporting brings challenges:

  • Volume: Many reports tend to be seasonalneeded ahead of popular effective dates. Not all clients are of the same importance and potential, yet all reports contribute to positive relationships.
  • Data Cleaning: Provider lists often contain incorrect, incomplete, and inconsistent data. Cleaning the data is the most important and time-consuming portion of the process. You’ll spend 60-70% of your time and resources, making it a critical path item to accurate matching and producing a winning report where you get credit for all valid matches. 
  • Narrow Focus: Disruption reports tend to have too narrow of a focus. Often you know who you are competing with besides the incumbent. Focusing only on your own disruption report results can create a false sense of security if your results are good compared to the incumbent. 
  • Consistency: Accurately comparing disruption reports from multiple carriers is difficult if each carrier uses a different data preparation methodology and matching process. As a result, there are often credibility questions about the match results.

 

Quick Takes: Disruption Reporting 

Watch and learn how NetMinder can help improve your disruption match rate.

Request a Sample Disruption Report to learn more.