Physician Network Outreach

The Solution

To solve this use case, payers require a way to track activity and report on it.

Salesforce Health Cloud's reporting features and activity tracking help payers become fully compliant with state reporting requirements. Salesforce's centralized system allows physician network lists to be directly imported from the state. Managers can then assign outreach tasks to agents. Every interaction is tracked within the platform, eliminating human error. Moreover, Salesforce's structured workflow capability guides agents through every stage of their outreach process, from initial contact to task completion. This clarity and organization make the outreach process more efficient, allowing teams to prioritize tasks and keep the process moving forward.

However, the most impactful feature is Salesforce's ability to generate audit-ready reports. These reports include all critical data required by the state, such as:

• Contact attempts
• Outcomes
• Discussion summaries
• Timelines

With Salesforce, payers can achieve compliance with state regulations, efficient outreach, simplified reporting, and centralized operations in one accessible platform. Centralization not only ensures transparency but also fosters better collaboration among teams.

Lastly, Salesforce's streamlined, transparent workflows allow agents to focus on building better relationships with healthcare provider networks rather than worrying about missed assignments or non-compliance.

Salesforce Health Cloud’s tracking and reporting features solve the regulatory challenges of physician network outreach. By leveraging Salesforce, payers facing compliance mandates can provide regulatory agencies with audit-ready reports that prove outreach and network adequacy.