
How Salesforce Health Cloud Helps Payers Perform Utilization Management
Reading time: 3 minutes
The term utilization management (UM) is nothing new — it’s been in our vocabulary since the 1970s — but it’s become an increasingly important term as a means of medical cost management. Overutilization and waste of resources, in combination with increased healthcare costs, put pressure on health insurers (payers) and employers to keep premiums down...

Future-Proof Member Management for Health Insurance Companies
Reading time: 3 minutes
In a world where business technology seems to change and age faster than ever, companies typically have two options for enabling new capabilities: modify what they have, or invest in new tools designed for their specific needs. Today’s health insurance companies are no exception. As they scale for growth and adapt to digital trends, client...

Payer Provider Portals: What They Are and Why You Need One
Reading time: 4 minutes
As a payer, you know that your contractual relationships with different providers can be complicated. (Understatement of the year, right?) You’re dealing with different lines of business, government regulations, tangled provider relationships, and payment schedules that can be wildly different. What you need is a health insurance provider portal powered by Salesforce to bring it...

3 Effective Payer Strategies for Health Insurance Companies
Reading time: 5 minutes
When it comes to building a proper strategy for Payers in the healthcare world, there’s a lot to consider. For every segment within the Payer ecosystem or within a particular organization, there are different elements to take into account. At Silverline, we like to start big and work our way down the funnel into the...

3 Key Health Insurance Trends Impacting Payers in 2021
Reading time: 3 minutes
The year 2020 has been described with words such as lost, chaotic, surreal, relentless and exhausting. The onset of the COVID-19 pandemic forced companies to think and work differently. Gone was the luxury of months of planning and preparation. The drive to innovation prevailed in a more timely manner than ever experienced before. So what...