affordable care act | Customer Service Solutions, Inc.

Be Supportive, Not Defensive - 10/7/25


[An employee on the phone with a customer…] Who told you that you didn’t have to submit that form? … Bob?  Oh brother!  You see Bob is our “special” co-worker.  He seems to always tell customers the wrong thing to do, and we’re having to clean up after him.  Read more

Some Customers LOVE Predictability - 9/30/25


I was facilitating focus groups of businesses that utilize local government services.  The phrase that popped up multiple times was “Time Is Money!”  What these municipal customers were conveying was that their time was valuable, and delays were wasting their time.  But the conversations were not just about how Read more

Find Your Special Sauce - 9/23/25


When I watch a football game and I see a great quarterback (somebody who may be considered a “Star”), he might be an excellent runner, have a big arm, be able to diagnose the defense and get his team into the right play.  But he’s likely not great at Read more

Gain Control of the Conversation - 9/16/25


The customer’s angry or upset or they have a complaint.  They’re very chatty or very wordy or they just want to talk to somebody.  You’re on a time crunch, and the customer obviously is not. There are times when you need to gain control of the conversation.  It’s important for Read more

Complement with a Compliment - 9/9/25


We perform many tasks for our customers every day, and when we’re done with a step in the process, oftentimes we will tell the customer what’s been done.  But if we want to create more of a WOW experience, if we want to make the customer feel a little Read more

When Patience Begets Patience - 9/2/25


Jennifer, the server, walked toward the couple in the restaurant.  The customers had been seated for a minute or two, and they noticed the server was walking briskly toward their table.  Jennifer recognized the couple she was about to serve, because they had been in the previous week. Since the Read more

Address the Expectations that Were Set - 8/26/25


Before the caller ever got to Marco – the customer service representative, the customer had been working with the company for months.  They had read the marketing brochures, had a conversation with a sales rep, reviewed the new customer information on the website, and read all the information e-mailed Read more

When Technology Fails the Customer - 8/19/25


Technology is a wonderful thing…until it isn’t.  The website is down, the mobile app won’t work, the system keeps kicking them out of their account, or they received a spoofing phone call supposedly from your department. If you’ve ever been manning the phones or managing the department inbox, you know Read more

The Misunderstood Physician - 8/12/25


I was speaking with one of my personal physicians years ago, and when we were talking about my work – particularly customer satisfaction research - he started talking about online physician ratings.  He lamented that a few low ratings were dinging his overall score.  Then he shared that the Read more

Uncover Silent Concerns - 8/5/25


One of the customer service statistics we have quoted many times over the years is:  For every complaint you do hear, there could be 26 other customer issues that you don’t hear. And when we bring up that statistic, we bring it up because we want to make sure companies Read more

ACA/Obamacare Emphasizes the Patient Experience…for Physicians

Posted on in Business Advice, Healthcare Please leave a comment

According to the article Physician Practices Seek Patient Satisfaction Surveys As Obamacare Emerges, payments for physician practices could be based in part on the patient experience – similar to what’s already happening for hospitals and home health providers.

“If you look at today’s environment under the ACA, patient experience is going to become more important,” said Todd Evenson, vice president of consulting services and data solutions at MGMA. “It is not clear what vehicle they are going to use as to how quality is evaluated but there will likely be clinical as well patient experience components the value equation.”

If this turns out to be anything like the hospital-focused HCAHPS evaluation tools for patient satisfaction, there will be a number of survey attributes dealing with communication, feeling cared for, frequency of activities, and consistency of service. They’ll ask about people, processes, and facilities when gauging the patient experience. The physician practice surveys will measure physician group v. physician group as well as how well an individual entity improves its own performance over time.

Therefore, physician groups should prepare by learning some of the key lessons of HCAHPS. It’s about getting ALL staff to ALWAYS introduce themselves, listen to the patient, and convey they care. It’s about having consistency from part-time to full-time staff, regardless of time-of-day or day-of-week. It’s about getting customer service standards in place, best practices identified and implemented, about hiring people with the natural inclination to be patient-focused, and it’s about constantly monitoring and improving today to get ahead of the ACA curve of tomorrow.

Find the gaps in performance today to begin moving toward the consistency needed tomorrow.

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Federally-Driven Health Insurance and the Future of Customer Care

Posted on in Business Advice, Healthcare Please leave a comment

Who would want the Federal Government telling them what to do? Well…for a price…a lot of businesses. Many observers wonder why the insurance industry is behind the Federal Government mandating insurance coverage for all. The quick answer is this – if your product was mandated, how much would you fight Government involvement? If you’re Dunkin’ Donuts, and every individual in the country is required to eat a glazed donut every day, would you object? If you were Schwinn, and every person in America had to buy a new bike every year, would you object?

Yes, with that requirement will come a lot of oversight, but the insurance companies are looking in the short-term more at the increase in demand, not the increase in oversight.

And why are we discussing this? Because the structure of the legislation should result in at least one good thing for citizens – improved customer service from insurance companies. According to an article in Forbes magazine titled Why Customer Service Matters in the New Healthcare Insurance Landscape, insurers will “have to deal with challenges such as competition, price and margin pressure, and consumer education. In this environment, cost-effective, yet, reliable direct-to-consumer customer service before, during and after the initial “sale” will be a critical competence for success.”

The tips provided for the insurers in the article include the following:

1. Hire/retain great staff.

2. Make it easy for the customer to do business with you.

3. Go to the customer to serve them.

I made these tips a little more generic to illustrate the broader point of the article. No matter what kind of business you’re in, great customer service involves three core pieces: Your people, your processes, and your customers. Take all the strategies in the world on customer service, and boil it down to these three. Consider the following questions:

1. What are the characteristics of your best employees? Identify them, build those skills, and look to acquire others that have these best practice qualities.

2. How can you make things quick, self-evident, and simple on the customer do business with you? How can you make it equally as easy for your employees to deliver great service?

3. Determine where your customers make decisions, where they use your services, where they get information about your company and your competitors. What can you do to be more present with your customers?

If your business (or the health insurers themselves) answer these questions and take action, maybe the future of customer care may be a little brighter.

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

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