Sunday, June 14, 2026

Improving the automation of healthcare CX: insights and examples


Since the Covid-19 outbreak, almost everyone has become accustomed to some form of self-service, especially when it comes to accessing healthcare services. But how good is this kind of care when humans are excluded? If done well, artificial intelligence and automated solutions can be maintained by providing more proactive methods of care, improving their direct communication with payers or providers, etc. to maintain-if not, improve-patient/member participation Spend. For healthcare organizations, the ability to create faster, smarter, and more connected communication processes and workflows can often save costs and increase operational efficiency.

Here are some examples:

  • The healthcare payer creates a virtual agent that acts as a smart hotline, answering questions through advanced analytics to identify and attract members, process input, monitor emotions, and connect them with the information or people they need. The caller is satisfied, usually without manual intervention, and the payer can optimize their most expensive resource: personnel.
  • Patients interact with their healthcare providers through chatbots (on landing pages or social media messaging platforms) or through smart IVR (ie, “Tell me what help you are seeking in a sentence or two.”). . This interaction occurs in a humanized manner at different touch points throughout the service process, which usually provides a better experience, shorter waiting time and more nuanced support.
  • Healthcare providers detect calls from mobile devices and automatically transfer them to the mobile Web for mobile applications or mobile browser-based service experiences. Callers will be redirected to information related to their query, such as the Covid-19 FAQ on the provider’s website or the location of a nearby vaccine site, depending on the home geographic location of the device from which the call came. Callers will get the help and information they need, and providers can redirect the surge in call center traffic.
  • A clinic created a virtual waiting system to process upcoming appointments. Automatic notifications are sent to remind patients of their appointments, their expected service schedule, and when to enter the building to meet with care providers.
  • Patients use their mobile devices to contact their providers via dedicated mobile apps or user portals to follow up on the results of their recent laboratory tests. Before they arrive at the contact center, they will automatically perform identity verification (verify their identity, including the device they are calling and the geographic location) to simplify communication and route them to the correct contact with complete security more quickly. Patients do not need to go through the traditional identity verification process, and providers maintain security compliance, increase patient participation, and promote higher CSAT scores.

The goal is to ensure that patients and members are always active partners in their healthcare decisions, increase participation, and use self-service to provide the answers and information they need. But remember, you don’t have to completely eliminate human contact. You can simply provide it to those who need it.There should always be an option to upgrade self-service interaction; however, the more you can provide in self-service (okay), the better the patient/member experience with provider.

Game start

Consumerism in the healthcare sector is nothing new, but competition in the healthcare sector is. We now see that healthcare organizations are actively competing to win customer loyalty, and the way to achieve this is through experience. Therefore, even after the pandemic subsides, organizations must continue to prioritize self-service. New research It shows that more and more healthcare customers are arranging appointments digitally and putting speed and convenience above the quality of care. Attaching great importance to effective self-service will:

  • Increase patient/member engagement
  • Improve the efficiency of contact center agents
  • Minimize patient leakage
  • Affect the income cycle
  • Increase the acquisition of new patients/members
  • Improve patient loyalty
  • Promotion features and service lines

At the same time maintain—if not, improve—cost savings, security, compliance, scalability, and innovation.

Healthcare organizations need to do several things to automate self-service: a cloud-based communication platform based on a composable infrastructure, reliable EHR data, and a way to segment this data to create important experiences. The good news is that you don’t have to give up the entire communication infrastructure to move on.

Photo: Andranik Hakobyan, Getty Images



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