Beyond Cost Transparency

How Personal Cost Navigation Transforms Member Engagement

Imagine grocery shopping without price tags. You check out, only to discover you’ve spent far more than expected. That’s how many members experience healthcare… making decisions without knowing the costs until the bill arrives.

Even with price transparency tools, most members don’t use them. They don’t know where to look, they check too late, or the information is overwhelming. This cost uncertainty leads to delayed care, poor financial decisions, and disengagement.

Personal Cost Navigation changes that. Instead of waiting for members to ask about costs, it proactively guides them to smarter, more affordable care decisions – before they overspend. This is Member Engagement that goes beyond cost transparency.

Why Do Members Ignore Cost Transparency Tools?

Cost transparency should help members make better financial decisions. So why don’t they use it?

• They don’t know where to look. Price information exists, but members often don’t think to search for it.
• The timing is all wrong. By the time they check, they may have already scheduled a procedure or picked a provider.
• It’s overwhelming. A long list of provider costs means nothing without context or guidance to compare options

The Real Solution? Don’t Wait for Members to Ask. Guide Them.

Personal Cost Navigation within Member Engagement changes the game. Instead of forcing members to search for pricing information, it delivers personalized cost insights right when they need them most and before they schedule high-cost care.

• Predicts future needs based on health data and past behaviors
• Reaches out proactively before a member makes an expensive decision
• Provides clear, personalized recommendations for cost-effective options

This isn’t just transparency. It’s navigation. Like a GPS guiding drivers to the fastest, smartest route, Personal Cost Navigation directs members toward affordable, high-quality care options before they take a wrong turn.

What Happens When Members Feel Financially Confident?

When members know their costs upfront, they make smarter decisions. Preventive care increases, provider selection improves, and costly surprises decrease. Instead of avoiding necessary care due to financial uncertainty, they engage proactively, leading to better health outcomes and lower long-term costs.

For payers, this means fewer disputes, lower claims costs, and higher member satisfaction. When cost navigation becomes part of engagement, members feel in control, trust their plan, and make choices that benefit both their health and their wallet.

Making Cost Navigation a Reality with Clarity Performance Solutions

At Clarity, we go beyond price transparency to deliver Personal Cost Navigation with our Member Engagement platform that proactively guides members before they make high-cost healthcare decisions. Instead of leaving members to search for pricing on their own, we provide timely, personalized cost insights that help them choose the right care at the right price.

By integrating predictive analytics with automated engagement, Clarity ensures members receive relevant cost guidance when they need it most. This not only helps them avoid surprise bills but also encourages smarter healthcare decisions that improve both member satisfaction and cost efficiency.

It’s time to move beyond transparency and start truly navigating members toward smarter financial and healthcare decisions. Let’s talk about how Clarity can transform your approach.