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May 2018 Poindexter's Points: Advanced Plan for Health's News and Updates
May 2018 Poindexter's Points: Advanced Plan for Health's News and Updates

Click here to check out our May 2018 e-newsletter for the latest news and updates.

Advanced Plan for Health and RISE Association Research – Medicare Advantage Plan Benchmarking Analysis
Advanced Plan for Health and RISE Association Research – Medicare Advantage Plan Benchmarking Analysis

Findings and benchmarking will shed light on commonality and outliers across research participants, and support continuous improvement

WESTLAKE, TX and CHARLOTTE, N.C., April 18, 2018 -- Advanced Plan for Health (APH), a leader in advanced and predictive healthcare data analytics and The RISE Association announced a joint research project for Medicare Advantage plans.

EBN: Predictive modeling: Employer's new defense against kidney disease costs
EBN: Predictive modeling: Employer's new defense against kidney disease costs

By Phil Albinus - Employee Benefits News

Published April 10, 2018

When an employee of Hill Country Memorial Hospital developed chronic kidney disease, the not-for-profit hospital in Fredericksburg, Texas faced a whopping bill. Not only was an employee facing a lifetime of dialysis treatments three times a week, missed work hours and increased medical care, the 80-bed hospital had maxed out its $1 million premium for its employee health plan.

“It cost us quite a bit,” recalls Becky Laughlin, the current benefits manager, who was the benefits coordinator at Hill Country Memorial Hospital when the incident occurred.

After the episode, the HR and benefits team looked for a solution. They found one in data management provider Advanced Plan for Health, which oversees its employee medical care expenses generated by its third-party employee benefit administrator Web TPA. Using its Poindexter program, APH oversees the hospital’s employee medical expenses, looks for patterns of cost overruns, pharmaceutical pricing and possible drug seeking behavior, overuse of emergency room and urgent care facilities. It generates reports that are sent to employers on a weekly, monthly or quarterly basis.

Read more here.

April 2018 Poindexter's Points: Advanced Plan for Health's News and Updates
April 2018 Poindexter's Points: Advanced Plan for Health's News and Updates

Click here to check out our April 2018 e-newsletter for the latest news and updates.

March 2018 Poindexter's Points: Advanced Plan for Health's News and Updates
March 2018 Poindexter's Points: Advanced Plan for Health's News and Updates

Click here to check out our March 2018 e-newsletter for the latest news and updates.

Benefits Pro: Kidney failure and dialysis: what employers need to know - by Joy McGee-Cory & Barbara Rutkowski
Benefits Pro: Kidney failure and dialysis: what employers need to know

By Joy McGee-Cory & Barbara Rutkowski - Advanced Plan for Health

Published February 27, 2018

Chronic kidney disease is a health crisis that affects employer and employees—and it continues to increase. So, what can employers do to help their employees stay healthy and control their costs?

According to the National Kidney Foundation, “the annual Medicare spending to treat kidney failure in the U.S. is approximately $31 billion.”

Read more here

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

Tags: Chronic Kidney Disease, Dialysis, Kidney Failure, Healthcare Costs, Medicare, Benefits Pro
February 2018 Poindexter's Point: Advanced Plan for Health's News and Updates
February 2018 Poindexter's Points: Advanced Plan for Health's News and Updates

Click here to check out our January 2018 e-newsletter for the latest news and updates.

Kidney Disease and Dialysis Best Practice Guide Published by Advanced Plan for Health
Kidney Disease and Dialysis Best Practice Guide Published by Advanced Plan for Health

Valuable to entities facing high kidney disease and dialysis costs and risks

WESTLAKE, TX, Jan. 18, 2018 -- Advanced Plan for Health (APH), a leader in advanced and predictive healthcare data analytics and cost aversion has published a Kidney Disease & Dialysis Best Practice Guide

Tags: Kidney Failure, Chronic Kidney, Dialysis, Health Plan Costs, Health Payors, Chronic Conditions, TPAs, Brokers, Consultants, Healthcare, Analytics, Cost-Saving
January 2018 Poindexter's Points: Advanced Plan for Health's News and Updates
January 2018 Poindexter's Points: Advanced Plan for Health's News and Updates

Click here to check out our January 2018 e-newsletter for the latest news and updates.

Employee Benefits News: Views A silent, life-threatening epidemic that needs to be on employers' radar
Employee Benefits News: Views A silent, life-threatening epidemic that needs to be on employers' radar

By Barbara Rutkowski
Published December 08 2017, 12:10pm EST

Employers across the country have been putting greater emphasis on the health of their employees over the last few years — it’s both the right thing to do and can help to save on insurance premiums. Particularly for self-insured employers, having a healthy population can be an important success factor for any business.

With that in mind, there are some diseases that employers should be aware of due to their very serious nature and the potentially devastating impact on insurance costs. One of them is Non-Alcoholic Fatty Liver Disease. Is it on your radar?

Read more here.

Barbara Rutkowski, EdD, MSN, CCM is vice president, clinical operations at Advanced Plan for Health.

Tags: Kidney Failure, Epidemic, Providers, Health Insurers, Type 2, Diabetes, NAFLD, Predictive Analytics, Health Costs, Liver Transplant, Self-Insured, Employers