重新定义个性化——新的健康计划研究表明，未来将是会员参与、卓越成果和改善消费者体验的未来-动脉网

Redefining Personalization - New Health Plan Research Shows the Future of Member Engagement, Superior Outcomes, and Improved Consumer Experience

CISION 等信源发布 2025-04-28 20:13

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National survey of health plan leaders finds there is broad recognition that enhancing member personalization will boost engagement and ultimately improve trust.

全国健康计划领导者调查发现，人们普遍认识到，加强会员个性化将提高参与度，并最终提升信任。

KNOXVILLE, Tenn.

田纳西州诺克斯维尔

，

April 28, 2025

2025年4月28日

/PRNewswire/ --

Lirio

百合花

, a pioneer in the union of behavioral science and artificial intelligence to deliver better health outcomes, has released new industry findings on the significant impact that advanced health plan member personalization will have on creating a more sustainable healthcare ecosystem and ultimately, improving outcomes..

，作为行为科学与人工智能结合以改善健康结果的先驱，发布了关于高级健康计划会员个性化对创建更可持续的医疗保健生态系统及最终改善结果的重大影响的新行业发现。

The report, titled

报告标题为

(Re)defining Personalization

重新定义个性化

, is based on independent, commissioned research conducted by healthcare consultancy

，基于独立委托的医疗咨询公司进行的研究

Sage Growth Partners

赛智成长伙伴

in Q1 2025. Sage surveyed 70 national and regional health plan leaders to directly learn about initiatives to improve member experience, identify artificial intelligence investment priorities, and gain perspectives on how AI will continue to shape the healthcare industry.

在2025年第一季度，Sage调查了70位国家和区域健康计划的领导者，以直接了解改善会员体验的举措，确定人工智能投资的优先事项，并获取关于人工智能如何继续影响医疗保健行业的见解。

Enabled by innovation, health plans now have the opportunity to deliver truly personalized, N-of-1 outreach. This approach goes beyond standard prompts—such as bill payments or benefit explanations—that drive episodic actions. Instead, it fosters

创新使健康计划现在有机会实现真正个性化的、针对个体的（N-of-1）宣传。这种方法超越了诸如账单支付或福利解释等推动偶发性行动的标准提示。相反，它促进

long-term behavioral change

长期行为改变

, influencing members longitudinally when it comes to adherence to diabetes care plans, or participation in wellness programs, for instance.

，例如，在糖尿病护理计划的依从性或参与健康计划方面，对成员进行纵向影响时。

'Our research shows that health plan leaders recognize the importance of personalization across all touch points of the member journey in order to cultivate a foundation of trust,' said

“我们的研究表明，健康计划的领导者认识到在成员旅程的所有接触点上实现个性化的重要性，以此建立信任的基础，”表示

Marten den Haring

马滕·登·哈林

, PhD, CEO, Lirio. 'To drive immediate and long-term impact, plans and providers must tap into what motivates members and help them overcome challenges that are preventing them from taking control of their health. When members trust their plan, they feel empowered and are more likely to use their plan benefits, engage in healthy behaviors and follow through on treatment plans -- all of which results in better health outcomes, lower costs, and higher member satisfaction.'.

，博士，Lirio首席执行官。“为了推动即时和长期的影响，计划和服务提供商必须挖掘会员的动机，帮助他们克服阻碍掌控自身健康的挑战。当会员信任他们的计划时，他们会感到被赋予权力，更有可能使用其计划福利、参与健康行为并坚持治疗计划——所有这些都会带来更好的健康结果、更低的成本以及更高的会员满意度。”

Key findings of the new research report include:

新研究报告的主要发现包括：

Of the health plans surveyed, 84% say the most significant barrier preventing their members from taking action following plan outreach is that their members are unmotivated to change—despite being aware of necessary actions.

在调查的健康计划中，84%表示，阻止其成员在计划推广后采取行动的最大障碍是，尽管成员了解必要的行动，但他们缺乏改变的动力。

60% of responses cited 'difficulty engaging members to improve their quality of care' as a top challenge.

60% 的反馈认为“难以吸引成员改善护理质量”是最大的挑战之一。

40% of survey respondents rated their current solutions as 'not well at all' in terms of providing adequate machine learning and AI tools to optimize workflows for increased engagement and improved outcomes.

40% 的调查受访者认为他们当前的解决方案在提供足够的机器学习和人工智能工具以优化工作流程、提高参与度和改善结果方面“完全不行”。

The majority indicated that population health analytics will be their most likely near-term technology investment, despite broad recognition of the impact AI can have on member personalization and experience.

大多数受访者表示，尽管人们普遍认识到人工智能对会员个性化和体验的影响，但人口健康分析将是他们近期最有可能进行的技术投资。

77% of respondents stated that it is 'very important' to incorporate personalization for chronic care outreach, such as diabetes care management.

77% 的受访者表示，将个性化融入慢性病护理推广（例如糖尿病护理管理）中“非常重要”。

'Behavioral prompts can sustainably improve outcomes, especially for people managing a condition as challenging as diabetes,' said health plan chief consumer experience officer

健康计划首席消费体验官表示：“行为提示可以持续改善结果，特别是对于那些管理像糖尿病这样具有挑战性的疾病的人。”

Paul N. Long

保罗·N·朗

. 'Today, delivering an enhanced, personalized experience in healthcare is extremely manual, and requires hours of message generation and technology configuration, with little to no understanding of outcomes or optimization. But N-of-1 behavioral prompts will make a huge difference to drive down costs and enhance outcome sustainability.

“如今，在医疗保健领域提供增强的、个性化的体验非常依赖人工操作，需要花费大量时间生成信息和配置技术，并且对结果或优化几乎没有任何了解。但N-of-1行为提示将大大降低成本并提高结果的可持续性。

AI can generate nudges to help people make better healthcare decisions, and continue to refine messaging based on new knowledge and actual behaviors.'.

人工智能可以生成提示，帮助人们做出更好的医疗决策，并根据新的知识和实际行为不断完善信息传递。

As health plans' strategic priorities shift from mergers and acquisitions toward improving the consumer experience, there's a monumental opportunity to impact change that goes beyond immediate operational and clinical savings.

随着健康计划的战略重点从并购转向改善消费者体验，这带来了一个影响变革的绝佳机会，其意义远超即时的运营和临床成本节约。

'Our research found that while barriers to member engagement range from financial to technical, the most significant challenge identified was cultural. Leaders rated engaging with members who have low trust in health plans or healthcare systems as being more difficult than factors like age or risk status.

我们的研究发现，尽管成员参与的障碍范围从财务到技术不等，但最显著的挑战是文化方面的。领导者认为，与对健康计划或医疗系统信任度较低的成员互动比年龄或风险状况等因素更为困难。

It is time that we all begin to realign the dedication of resources from focusing on the organizations .

是时候我们都开始重新调整资源的投入方向，不再聚焦于组织。

funding care

资金护理

toward those

朝着那些

receiving care

接受护理

. That is a significant step in re-establishing trust,' said

。“这是重建信任的重要一步，”他说。

Dan D'Orazio,

丹·多拉齐奥，

CEO, Sage.

首席执行官，赛捷公司。

For more information of the research, or to

有关该研究的更多信息，或

download a complete copy of the report

下载报告的完整副本

, visit

，访问

lirio.com

百合网

。

About Lirio

关于Lirio

Lirio's personalization engine for digital health combines behavioral science and artificial intelligence to automate and scale unique consumer health journeys through its Precision Nudging

Lirio的数字健康个性化引擎结合行为科学和人工智能，通过其精准推动技术实现用户健康旅程的自动化和规模化。

interventions. Lirio has received multiple awards for its excellence in applied artificial intelligence, was named an Inc. Magazine Best Workplace, and is HITRUST

干预措施。Lirio 因其在应用人工智能方面的卓越表现获得了多个奖项，被评为《Inc.》杂志最佳工作场所，并且符合HITRUST标准。

CSF certified, SOC 2 Type II compliant, and NIST certified. For more information, visit

CSF认证、SOC 2 Type II合规、NIST认证。欲了解更多信息，请访问

www.Lirio.com

。

About Sage Growth Partners

关于赛吉成长伙伴公司

Sage Growth Partners is a healthcare advisory firm with deep expertise in market research, strategy, and communications. Founded in 2005, the company's extensive domain experience ensures that healthcare organizations thrive amid the complexities of a rapidly changing marketplace. For more information, visit .

Sage Growth Partners是一家在市场研究、战略和传播方面拥有深厚专业知识的医疗保健咨询公司。公司成立于2005年，其广泛的领域经验确保医疗保健组织在快速变化的市场环境中蓬勃发展。欲了解更多信息，请访问。

https://sage-growth.com

。

For more information

更多信息请参见

John Gonda

约翰·贡达

616.309.4888

JGonda@sage-growth.com

SOURCE Lirio

来源：Lirio

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