Today, by the time your members speak to a customer service representative, they are already frustrated; contact with the plan only happens when something goes wrong.

Health Care Concierge fundamentally changes this customer service paradigm. And just in time! Enrollment restrictions found in the Medicare Modernization Act mean that member retention is more important than ever before.

How HCC Works
How HCC Works

The Health Care Concierge is a pro-active customer service model. Upon enrollment, each member is given a brochure with their concierge’s photo and personal contact information.

Each member:

  • Receives a minimum of three calls each year from the concierge to fact-find health and membership issues
  • Gets a direct-dial line to his or her dedicated concierge
  • Will have access to a live person during business hours and voice mail during off hours

Each concierge:

  • Is trained in the unique Health Care Concierge system
  • Is responsible for a dedicated book of members
  • Is incentivized with performance bonuses based on the number of outbound calls made and issues resolved.

Satisfied, loyal members stick with the HCC through their personal ups and downs because they have a companion on their journey--- a relational dynamic that is especially important to the senior population.

The benefits of HCC are not only for the member. Central to the success of this program is the focus on employee ownership and intrinsic reward. The HCC model gives the Concierge accountability for a specific book of business and provides rewards based on performance. This results in higher than average retention of the service personnel themselves and reduces the need for redundant telecom units, making the HCC model less expensive than traditional “800” numbers.

Doctors emphasize preventative care. Isn't it time that you practice pre-emptive customer service?

In an era of preventive medicine, are you still waiting to serve your customers until it’s too late?

The Revenue Implications:
A health plan with 20,000 members and an annual voluntary disenrollment rate (VDR) of 16% loses $20,320,000 in revenue per year. By reducing the VDR by just 1%, the Health Plan would realize an additional $1,270,000 in revenue and acquisition costs savings. If the Health Plan reduces the VDR to the goal of 6%, it will have an additional $12,700,000 in revenue.

“I would rather see my co-pays go up than lose my Health Care Concierge.”
Actual member testimonial


Thinking of outsourcing?  GHG has partnered with Pearson Government Solutions (Operators of 1-800 MEDICARE) to deliver a turnkey HCC program!  For more information, inquire via HCC@gormanhealthgroup.com or 202-364-8283.

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