Healthcare CX: How to Go from Ailing to Excellent

Healthcare can mean life and death. Yet healthcare CX, sub-par to begin with, has relapsed over the last few years. Stuck in the bottom quartile of all industries in the most recent Forrester CX Index report, it has also been dropping in the last three years in a row under the same benchmark.

Here are more examples:

1. 81% of consumers are not satisfied with their healthcare experiences (Source: PwC)

2. Commercial health plan member satisfaction declined overall, largely driven by a 33-point decline in satisfaction with customer service (Source: J.D. Power)

3. State of Digital Customer Service Report 2020, (Source: Dimensional Research)

  • Worst score in consistency of customer service across touchpoints with 65% of healthcare consumers—insurance customers and providers’ patients—complaining that they got different answers from different channels and contact center agents for the same question

4. State of Agent Experience Report 2022 (Source: BenchmarkPortal)

  • 56% of agents cannot see the self-service interactions of customers, which means they need to ask the customer to repeat everything they had already done in self-service, a huge deterrent to good CX

5. State of Knowledge Management 2023 (Source: KMWorld)

  • 71% of healthcare contact center agents surveyed do not have conversational guidance tools though customer queries are getting more complex

6. Forrester survey on top customer service pain points 2015

  • 72% of consumers surveyed complained that healthcare contact center agents across payors and providers did not know the answer to their question or they got different answers from different agents

So, what should healthcare companies do to improve customer service? Interestingly, many of the findings in items #3, #4, and #5, outlined above, lead to the poor performance outlined in items #1 and #2, offering a roadmap for healthcare organizations to get on a path to CX and EX (employee experience) transformation. Here are some steps they should take:

1.
Digitalize the service

Accelerated by millennial and Gen Z preferences and the pandemic lockdowns, consumers have doubled down on digital with 80% saying that they had increased the use of digital channels during the pandemic and 90% of digital novices saying they will remain digital, according to research surveys conducted by the likes of McKinsey and others. Moreover, today’s digital patients want to go beyond simply checking their appointment or billing status to accomplishing more complex tasks such as research and selection of plans and human-assisted, secure form-filling. Where they are not able to self-serve, they are looking for answers through human-assisted digital channels such as live chat and messaging apps, where they often “live.” This would require healthcare companies to go beyond the basics to provide service through touchpoints like next-gen chatbots, messaging, live chat, cobrowsing, in-app service, and proactive notifications.

2.
“Hub” the conversations

While self-service is getting increasingly smarter and more effective, there are still queries from digital-first customers that require human assistance over digital channels like messaging and chat and if all else fails, over the phone or in person. Unless customer conversations are all “hubbed” or unified into a single desktop, customer service agents won’t have complete context. They then wind up asking the consumer to repeat information, a big no-no for good CX.

3.
“Hub” the knowledge

The biggest deterrent to good CX is getting inconsistent answers across touchpoints and lack of knowledge among customer service reps, according to a Forrester survey of 10,000+ consumers, sponsored by eGain. As mentioned earlier, 65% of consumers point to this problem when it comes to healthcare customer service. The cause? Inconsistent knowledge silos across the enterprise. The solution? An omnichannel knowledge hub with content management, conversational AI, generative AI, and analytics, all unified and orchestrated in one place. This approach will ensure that the knowledge—content, knowhow, and insights—is correct, consumable, compliant, and consistent.

4.
Select the right solution partner

Technology matters as the world goes digital and AI. So do best practices and domain expertise. Make sure you pick a partner whose technology is proven, who has had success at scale in the healthcare sector, and who is compliant with privacy and security standards such as HIPPA. Does the vendor provide end-to-end services, including training/education, implementation, and managed services? Do they have a formalized customer success program? Do they offer risk-free production pilots—not just a toy sandbox—to try out their solution with expert guidance, all free of charge in the pilot phase. Vendors’ willingness to put real skin in the game shows their commitment to your success and confidence in their own solution.

Client success stories

  • Premier health insurance firm reduced agent training time for handling complex health insurance queries by 33% even as its agents—over 2,000 of them—had to go remote overnight due to COVID lockdowns. In fact, the knowledge hub deployment has earned them a spot among the top 5 health insurers in the Forrester US CX Index, every year since 2020
  • Large government healthcare agency empowers 25 million users and 128,000 contact center agents and other customer service personnel with consistent and accurate information and guided customer service processes, compliant with regulations.
  • National, vertically integrated US retail healthcare chain provides proactive digital customer service to over 100 million consumers through knowledge-powered notifications across SMS, email, and voice on topics such as prescriptions, enrollment, and benefits. The company sends over two billion notifications per year, reducing unwarranted incoming calls and improving customer satisfaction at the same time!

Final word

Prioritizing customer service digitalization, unifying conversations and knowledge with omnichannel hubs, and working with a proven solution provider will enable healthcare CX to go from ailing to excellent!
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