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Targeting Doctor Shopping, Prescription Abuse With Analytics: Population Health Lessons from the Front Lines

In recent years insurers and brokers have had to adapt to rising healthcare costs without much say in the matter. This is in part because brokers and employee benefit managers often have too much on their plates to sleuth out and address the costliest “blind spots” in health coverage. This has left many struggling to find a way to remain competitive in an increasingly technology-driven industry.

Targeting Doctor Shopping, Prescription Abuse With Analytics: Population Health Lessons from the Front Lines
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Harmful, Fake Health Foods - Copy

Dr. Lee decided to take action and has dedicated her life’s work to making the nonviable, viable, when it comes to sustainable health. In an engaging and educational viral video, Dr. Lee addresses risk factors for fatigue and weight gain, its resulting complications, and discloses weight loss strategies and ways to promote healthier lifestyle changes that yield maximum results.

Harmful, Fake Health Foods
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Healthy Grilling – Prevent Carcinogens, Reduce Calories, Keep Fit

Summer is in full bloom and all across America grills are fired up. It’s now mid-July and the good times are officially rolling. But as we prep and marinate our finest cuts of meat, let us also ruminate on our health choices and their consequences.

Healthy Grilling – Prevent Carcinogens, Reduce Calories, Keep Fit
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Is Your Health Plan on Auto Pilot?

Life can change suddenly. One day you are doing fine, and the next day your whole world is turned upside down by a major illness. That is when little things, like a “personal touch” and professional help in navigating the healthcare maze takes on a whole new meaning.

Is Your Health Plan on Auto Pilot?
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Competitive Advantages That Every Health Insurance Broker Should Know

The webinar included Business Insurance, Advanced Plan for Health, Turner Industries and BancorpSouth Insurance Services, Inc. and offered insights on how to leverage advanced analytics throughout the year at various points in the annual sales and service cycle. It also outlined real-world case studies of health data analytics in practice, resulting ROI and the many benefits analytics has on health plan performance and the competitive advantages it can provide brokers looking to set themselves apart from the crowd.

Competitive Advantages That Every Health Insurance Broker Should Know
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Analytics, Group Benefits Design and The Battle Against Addiction

Like the war general, the best benefits brokers know that implementing a good benefits plan (or war plan) requires a mixture of science, art, technology and even psychology. When it comes to preempting costly diseases and health plan pitfalls, anticipation and an outside-of-the-box mentality is everything. To have a comprehensive understanding on how individuals function and behave within the health plan design is to be a step ahead of the curve.

Analytics, Group Benefits Design and The Battle Against Addiction
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Having Surgery Is Like Running a Marathon

Most people would not participate in a 5K run without training. Yet folks go for elective surgery every day without building their nutritional status and improving their physical conditioning.  Studies over many years have shown the value of sound nutritional status on surgical outcomes like wound healing, faster recovery, shorter hospital stays and fewer complications. Gaining control of elective surgical preparation is a win-win for the health plan in terms of cost savings and for the patient, who optimizes their speed of recovery and minimizes the chance of complications.

Having Surgery Is Like Running a Marathon
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Three of the Costliest Health Conditions Ravaging Your Health Plan, and Steps for Prevention

High-cost claimants are only a part of the equation. There is a secondary subset of the insured population who are at-risk of entering the 5-7% of highest cost claimants that predictive modeling can uncover and help address. Not all predictive modeling engines have the capability to identify this subset of the employee population, but with Advanced Plan for Health’s Poindexter’s predictive modeling capabilities, determining the likelihood of an occurrence of coronary events, neurological events, orthopedic events and chronic kidney disease is made easy. Once interventions are made to improve the health of at-risk patients, the analytics system can retrospectively report actual cost versus the original predictive model to measure the positive health and financial effects the interventions created. Without the predictive-modelling enabled ability to identify those at-risk and intervene with targeted prevention strategies, health plan optimization will always be an uphill battle. 

Three of the Costliest Health Conditions Ravaging Your Health Plan, and Steps for Prevention
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Questions for the Self-Insured Employers to Consider When Selecting a Benefits Broker

For self-insured employers, selecting a broker is without a doubt one of the most important parts of designing a health benefits plan. It’s important to select a broker who understands the nuances of plan design and who can quickly adapt to the rapidly shifting health coverage and policy landscape. Employers need an ombudsman, a consultant with the know-how, resources and technological tools, including predictive analytics, to expertly navigate and take advantage of the current healthcare system. 

Questions for the Self-Insured Employers to Consider When Selecting a Benefits Broker
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Important Trumpcare Topics and Comparison

Whether its Trumpcare or Obamacare – the name makes no difference when it comes to Population Health improvement. What the American people need is solidarity and a conscientious, diligent commitment to providing affordable healthcare to its citizenry. Citizens should in turn remain engaged and informed about the healthcare debate and how it might impacts their care. Below you will find important health reform information from Trumpcare.com, a site operated by HealthNetwork Group, an unbiased, consumer focused for-profit healthcare marketing company.

Important Trumpcare Topics and Comparison
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