In the health payer industry, member satisfaction, enrollment growth, care management and retention are key priorities for health plans. There is an increased focus on streamlining operations and enhancing the member experience. Working with a Salesforce partner who understands and can translate needs into actionable results and tailored solutions is integral to business sustainability and growth. 

AArete is a leading Salesforce partner that brings a unique approach to bridging the gap between technology and business outcomes. Our team of experts is committed to helping companies harness Salesforce as a powerful tool for strategic growth in the digital era. AArete has a deep knowledge of the health payer industry and can optimize Salesforce implementations, ensuring an efficient and impactful return on investment.

Personalizing Member Experiences and Data-Driven Operational Improvements

AArete recently developed an analytics platform for a growing regional health payer which demonstrates how a strategic Salesforce Health Cloud implementation can deliver impactful business results. By building a powerful, member dashboard, each member can now personalize their healthcare experience and access Health Navigators and the programs they need. On the back end, the payer received valuable data insights to improve member service, operational efficiency, health outcomes and financial performance through a member-centric approach.

This example highlights AArete’s implementation of a complex healthcare management system for a payer, which involved developing three functional product consoles within the Salesforce Health Cloud platform.

Addressing Common Challenges with Salesforce in Health Payers

Within the health payer industry, the most pressing challenges include the need for cohesive, coordinated member engagement while still meeting all business and operational requirements. AArete custom Salesforce Health Cloud implementations are tailored to a payer’s unique business goals and can be transformative.

Key challenges health payer executives face and how Salesforce Health Cloud helps:

1. Business Needs: Health payers aim to achieve seamless, coordinated member engagement. Using an AArete-built platform leveraging Salesforce Health Cloud, health payers can fine-tune their Salesforce solutions by analyzing patterns and trends in member engagement. This ensures that all business and operational needs are met, leading to more personalized user experiences and better overall outcomes.
   
   
2. Cost Concerns: The escalating costs of Salesforce licenses and maintenance are a growing concern. A custom-built platform built by AArete on Salesforce Health Cloud helps clients manage these costs by optimizing license utilization and delivering clear ROI insights, reinforcing the value of their investment.
   
   
3. Underutilization Concerns: Underutilization of Salesforce features, or “shelfware,” can diminish the returns on CRM investments. AArete-built Salesforce Health Cloud applications identify these underutilized features, allowing health payers to fully leverage their licenses. By aligning license costs with business value, AArete implementations support more informed decision-making and provide data-backed ROI insights to justify Salesforce investments.
   
   
4. Development Capacity Challenges: In the health payer industry, many organizations’ internal development teams are over capacity as Salesforce implementations become more complex and requests increase. AArete Salesforce Health Cloud applications analyze the performance and utilization of existing Salesforce features and customizations, helping to identify which areas are most critical for improvement or expansion. This allows development teams to prioritize their efforts, ensuring that resources are allocated efficiently and effectively.
   
   
5. Choosing the Right Salesforce Partner: Payers want to know a partnership will translate to a strong ROI. Implementation partners may focus solely on technology, which limits the power of Salesforce’s capabilities. AArete takes a more holistic approach by integrating industry best practices and effectively leveraging them with the full potential of Salesforce’s features. By this method, AArete ensures that our solutions are technologically sound and aligned with critical business objectives, such as membership growth and retention.
   

Aligning technology with business goals is integral to successful Salesforce implementation in the health payer industry. Explore AArete’s Salesforce Implementation case study. Connect with AArete to discover how our customized Salesforce solutions can enhance your organization’s member engagement, operational efficiency and overall ROI. By combining deep industry knowledge and technical expertise, we help our clients fully realize the benefits of their Salesforce investment.

Learn more about AArete’s Payer Solutions and Salesforce Consulting Services

Meet the Author

Bhrugu Pange

Managing Director