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The Importance of Identifying and Supporting Newly Diagnosed Individuals

The Importance of Identifying and Supporting Newly Diagnosed Individuals

For proactive education and support, it has been proven effective to reach out to individuals newly diagnosed with chronic conditions in a timely manner. It’s important to ensure they understand their diagnosis, and what their responsibilities are in light of the "new news". It’s important to not assume that the members’ primary care doctors covered their new diagnoses and treatment plan as thoroughly as was needed. Even if they did, people often don’t remember everything they hear while sitting in their doctor’s exam room.

Understanding and Encouraging Hospice Benefits

Understanding and Encouraging Hospice Benefits

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health.

This is an important topic our clients are seeking information on, so we wanted to share more details here. Health systems can save money and human misery when they better understand end-of life care options.

Palliative care and hospice are different. The National Institutes of Health (NIH) – National Institute on Aging (NIA) shares some valuable clarification and information. While both include a multidisciplinary approach to relieving symptoms and providing comfort, palliative care may also include curative treatment, whereas hospice does not. Palliative care can be a good segue to hospice. To qualify for hospice care, providers must believe that, assuming a normal course of illness, an individual has six months or less to live. However, estimating remaining life is difficult, and improvements in care through hospice may extend life, while definitely enhancing access to necessary healthcare and comfort measures.

Millennials: Who Needs Primary Care Physicians? Give Us On-demand Healthcare

Millennials: Who Needs Primary Care Physicians? Give Us On-demand Healthcare

We'd like to extend a big thank you to our guest blog contributor - John Milne, Benefits Consultant, Corporate Synergies®

Millennials, and Generation Z behind them, are changing the way they access healthcare. In fact, 45% of 18- to 29-year-olds say they don’t have a primary care physician.1 Instead, they’re opting for on-demand healthcare.

Traditionally, individuals and families see primary care physicians several times a year and build relationships with their doctors over time. Visiting the same primary care physician when an illness strikes, or for an annual health & wellness checkup, can help the doctor notice changes in a patient’s health and catch issues before they become more serious (and costly).

But for Millennials, having a primary care physician isn’t necessarily a priority.

Recap of 2018 Update to Cholesterol and Coronary Disease Clinical Guidelines

Recap of 2018 Update to Cholesterol and Coronary Disease Clinical Guidelines

Our clinical leadership wanted to update our readership on some large-scale and important updates to cholesterol guidelines to help support awareness. The 2013 ACC / AHA clinical guideline for cholesterol treatment and coronary disease prevention was recently updated to better integrate patient information data and improve atherosclerotic cardiovascular disease (ASCVD) risk assessment.

Making Sense of Colorectal Cancer Screenings: Age, Risk Factors and Health Analytics

Making Sense of Colorectal Cancer Screenings: Age, Risk Factors and Health Analytics

Colorectal Cancer is a combination of rectal and colon cancer considered to be unpreventable and expected to account for 50,630 deaths in 2018. According to Cancer.net, Colorectal Cancer is the third most common cancer diagnosis among both women and men. The good news is that while Colorectal Cancer may be unpreventable, most of its associated risk factors are controllable and successful treatment is not uncommon – particularly in cases where proactive screenings lead to early intervention.

What's all the Fuss About Avoiding Flu Shots?

What's all the Fuss About Avoiding Flu Shots?

With this season’s flu season starting, we’re asked more and more by clients why there is so much resistance to getting the flu shot, and how they can counter the objections.

Coming out of the record-breaking flu season of 2017, we know this is important and very serious to address. The CDC said 2017's Influenza Death Toll Was the Highest in 40 Years! “The flu, as well as flu-related complications, was responsible for 80,000 U.S. deaths last winter. That’s the highest flu-related death toll in the U.S. four decades.” Of the estimated 80,000 who died of flu and its complications, 180 were children – and “approximately 80 percent of those deaths occurred in children who had not received a flu vaccination.”

Diabetes Facts and Resources

Diabetes Facts and Resources

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health & Joy McGee-Cory - Senior Vice President, Advanced Plan for Health

Diabetes is a serious, lifelong condition. It is widely recognized as one of the leading causes of death and disability in the United States. More than 100 million U.S. adults are now living with diabetes or prediabetes, according to a report released in 2017 by the Centers for Disease Control and Prevention.

Assessment of 2019 Medical Cost Trends

Assessment of 2019 Medical Cost Trends

Chris Galanos, Director of Medical Services, Advanced Plan for Health

Our customers and partners rely on us to keep our finger on the pulse of what’s coming in the marketplace, and what we’re seeing trend within the member population in our Poindexter advanced and predictive analytics platform.

I recently performed a market scan and Poindexter information synthesis in support of providing a read-out on 2019 Medical Cost trend predictions, and felt it would be helpful to share a summary via the APH blog.

Would Your Health Plan Pay for a Transplant with an HCV-Infected Organ?

Would Your Health Plan Pay for a Transplant with an HCV-Infected Organ?

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health and Yvonne Daugherty, VP of Development, Advanced Plan for Health

There are about 99,000 Americans listed for a transplant, some for many years. Unfortunately, about 4,800 die each year while they wait for their transplant. Not everyone is at the top of the transplant list nor do they have the remaining life and / or health to undergo the procedure if the wait is too long.

Expanding the available organ pool can save lives and reduce overall costs in many cases.

There is a relatively new source of organs available from deceased individuals infected with Hepatitis C (HCV-infected). These organs were formerly discarded, but they are now being utilized... 

Influence on Lifestyle Change Does Have an Impact on Outcomes

Influence on Lifestyle Change Does Have an Impact on Outcomes

Once populations are targeted for support and intervention via our Poindexter advanced and predictive analytics (via current state and predicted risk factors), we’ve found that one of the most effective ways to support targeted employees and members is through live or telephonic nurse influence and intervention.

Nurses are able to deliver individuals the education and support they need to make important lifestyle and preventative care changes. This is one of the most effective programs that we’ve seen in delivering needed outcomes.