Adobe Public Sector Blog

Customer Experience Management (CEM) for Health & Human Service agencies. What’s in it for me?!

Obviously the answer to that question will vary greatly depending on who asks, and his stake in delivering (or experiencing) an engaging interaction.

CEM for the enterprise is typically associated with substantial benefits, like brand loyalty and competitive differentiation, but those may initially seem like non-issues for so-called entitlement programs such as Medicaid, Medicare, and others. That’s because, unlike in the competitive private sector, consumers of these programs often don’t have the benefit of choice.

Many would argue, however, that CEM offers a matrix of far-reaching benefits to any enterprise, some of which aren’t always immediately obvious. Customer communications is a perfect example. Consider the Explanation of Benefits (EOB) form that is sent to millions of Medicaid members in any given month.

Recently, at the 2011 State Health IT Connect Summit, I presented an interactive electronic version of that familiar EOB statement as part of a Health Insurance Exchange demo. By leveraging components of the new Adobe Digital Enterprise Platform (ADEP), recipients of this interactive EOB would be able to intuitively communicate back with its sender from within the document, while maintaining privacy and security of health data.

Now, consider the added convenience for diverse populations where multi-lingual content and responses may be automatically translated by backend processes as the correspondence is exchanged. Customer experience is improved even further as members may effortlessly dispute the accuracy of a claim displayed in that EOB, again from directly within the document.

For the enterprise that sent the EOB, this presents an opportunity to realize significant savings. Overcharges and potentially fraudulent claims that may have otherwise slipped through the cracks may now be identified and investigated, simply by making it easier for members to participate in the process. There are countless other examples of ways that HHS agencies may optimize efficiencies and generate measurable ROI by deploying solutions that strive first to better serve their members.

More often than not, a win-win scenario emerges for everyone as innovative executives are learning that the byproducts of optimal customer experiences include measurable impacts to the bottom line for organizations of all types, in both private and public sectors.

What are your thoughts on this trending hot topic? Let us know in comments and on Twitter @AdobeGov and @AdobeCEM.

Creativity in Government, Digital Government, Events, Eye on AdobeGov, Healthcare, Policy, Uncategorized