Access to healthcare is more than an employee recruiting or retention tool. It’s one of the largest line items on the balance sheet and a critical factor in workforce stability. As costs and expectations rise, employers and employees want a simpler healthcare experience. Yet for many, navigating healthcare still feels fragmented, time-consuming, and overwhelming; everything from finding the right care provider to understanding benefits and costs to scheduling appointments should be easier.
As employers compete for talent and work to keep employees healthy and engaged, access to healthcare must better reflect how people live and work. Employers are also looking for solutions that lower the total cost of care while improving the overall experience. The future isn’t fully virtual or entirely in-person but hybrid: combining digital tools, virtual support, and inperson care with greater speed, precision, and connectivity.
We see this shift firsthand with the members we serve. For employers, it’s clear: healthcare must be easier to navigate, more integrated across care settings, supporting a more coordinated, whole-health approach. Our goal is to help our members in Maine spend less time managing care and more time focused on work and life, while helping lower their cost of healthcare and simplifying how people navigate the system.
Why hybrid healthcare is a business imperative
Today’s healthcare system was largely designed around in-person visits, which no longer aligns with modern schedules or expectations. Access can be limited, wait times are long, and coordinating care across providers is often left to the individual. At the same time, the workforce expects flexibility. When nearly two-thirds of hourly workers receive schedules week to week, care requiring long wait times and limited appointments doesn’t work for employees or their employers.
Hybrid healthcare addresses this gap by combining digital tools, virtual care, and in-person services into a simpler experience. This includes more integrated approaches across medical, pharmacy, and behavioral health. This makes it easier for people to access support quickly, avoid unnecessary office visits, and get the right level of care when they need it. For employers, that translates to fewer disruptions during the workday and lower costs tied to missed work or delayed care.
In Maine, where we have the oldest population in the U.S., and where a significant segment of our population lives in rural areas, this kind of coordination is especially important. When care is connected, people are more likely to stay on top of prevention, better manage chronic conditions, and reduce avoidable downstream costs for employers.
Using technology responsibly to simplify and personalize care
The opportunity to improve the experience is significant. A Harris Poll survey found that people spend eight hours a month coordinating care. That’s time most people don’t have.
At Anthem, our focus is on making healthcare easier to navigate by using technology, including responsibly using artificial intelligence (AI) to help remove barriers, simplify decisions, save time, and support earlier, more personalized interventions.
For people in Maine, we support this model in several ways:
- A single digital front door: Through the Sydney Health member engagement platform, members can find innetwork providers, check benefits, estimate costs, and schedule appointments in one place.
- Personalized guidance: AIenabled tools help surface relevant information and recommended next steps based on an individual’s needs and strengthen decision-making with data-driven insights, while maintaining privacy and human oversight.
- Proactive support: By combining data with outreach like app notifications, text messages, or emails, we can engage people earlier with more personalized support for preventive services, medication reminders, or chronic condition resources.
We’re also investing in systems that allow health information to appropriately and securely move more easily across the care continuum. When data is connected, providers have better visibility of their patients’ health, and employees spend less time repeating information or tracking down answers, and administrative complexity is reduced.
Why interoperability matters
Hybrid care only works when information can follow the individual. Without that connectivity, hybrid care breaks down, creating fragmented experiences, delays in care, and unnecessary complexity for employees trying to navigate the system. When this happens, employees spend more time managing their care, and are more likely to postpone treatment, leading to higher downstream costs and more disruption during the workday. It should feel simpler and more integrated.
Interoperability helps make those transitions seamless by creating a simpler experience, reducing repeated questions, duplicative tests, and avoidable delays. For employers, those inefficiencies show up as real costs – in higher healthcare spending and employees spending more time away from work managing care instead of receiving it.
When information moves more seamlessly, providers can make more informed decisions faster, enabling earlier intervention and better coordination across care settings. In 2024 alone, the U.S. healthcare system avoided an estimated $258 billion in administrative costs through electronic transactions and improved data exchange. Through Health OS, our digital interoperability platform, we’re connecting data from the various corners of healthcare to give care providers and consumers a more complete view of a person’s health and healthcare, helping to create a more integrated healthcare experience.
Raising expectations for the healthcare experience
People expect healthcare to fit into their lives. Meeting that expectation requires a flexible approach that seamlessly blends technology with in-person care.
Building a more effective healthcare system will require continued partnership across stakeholders, including employers, care providers, and health plans. Smarter, more connected care approaches can improve the cost of care, simplify the healthcare experience, and support a healthier, more productive, workforce, which will strengthen businesses in Maine.
