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There are 5 item(s) tagged with the keyword "Behavior".

Displaying: 1 - 5 of 5

Combating Opioid Addiction with Analytics and Case Management

The current opioid epidemic has shed light on the shortcomings of many wellness programs and the lack of preparedness by case management teams to handle chronic conditions and or patient behavior, such as addictive tendencies or duplicate therapy. But are case management teams solely to blame for lack of effective response to this costly health crisis? The simple answer is, no.

Many case managers do not have access to the data or tools required to employ a compelling and value-driven prevention model. Hence, what we see today is very little accountability or effective case management. What’s needed most is quality data to guide active engagement with patients.

Tags: Opioid, Addiction, Data, Big Data, Predictive Analytics, Account Management, Health Plan, Insurers, Healthcare, Brokers, Payers, Third Party Administrators, TPA, Epidemic, Case Management, Care Management, Care Manager, Wellness Program, Group Benefits, High Cost Claimants, Costs, Chronic Conditions, Behavior, Duplicate Therapy, Rx, Patients, Advanced Plan for Health, Actionable Insight, Health Intelligence, Poindexter, Self-Insured, Health Plan Sponsors, Catastrophic Medical Events, Drug Costs, ER Utilization
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.

Tags: Doctor Shopping, Prescription Abuse, Population Health, Healthcare, Data, Data Analysis, Health Insurers, Benefits Design, Population Health Management, Member Population, PHM, Health Events, Cut Costs, Health Events, Prevention, Brokers, Employee Benefit Managers, Health Insurance Brokers, Predictive Analytics, Actionable Insight, Health Plan, Health Plan Member, Doctors, Duplicate Therapy, Poindexter, Predictive Modeling, Healthcare Costs, Self-Insured, Employer, Pharmacy, Rx, Data Analytics, RFP, Network, Data Reports, Lab Costs, Technology, Chronic Pain, High Cost Claimants, Addiction, Opioid, Cost Centers, Behavior, Behavioral Analytics, Phenotyping
Data: Your Secret Weapon

So, where are your hidden health-related cost centers? The same places they’ve always been: In plain sight. But for the lack of data transparency and integration of data tools and services, they remain elusive to spot. To uncover these cost centers, consider partnering with an analytics firm that not only can access data sets from everywhere patients access healthcare, but also combine them to create nuanced action lists.

Tags: Data, Analytics, Population Health Management, Metabolic Syndrome, Chronic Condition, Intervention, Hospitalization, High Level, Trend Analysis, Individual Metrics, Healthcare Cost Curve, Health-Related, Cost Centers, Access, Transparency, Patients, Healthcare, Action, Medications, Employees, Non-formulated, Specialty Drug, Cost Saving, PCP, Primary Care Physician, Behavior, Pharmacy, Specialists, Network, Employee, Chronic Care, Reduce Cost, Preventable, Emergency, Inpatient, ER, Urgent Care, Copay, Health Plan, Bottom Line, Utilization, Predict, Consult, Drill Down, Follow Up, Biometric, Outliers, High Risk, Wellness Program, Medicine, Case Manager, Patient Population, Poindexter, Advanced Plan for Health, Predictive Modeling
Informed and Healthy Employees Make for Healthy Benefit Plans

Employers have found that it is not only the catastrophic conditions inherent in the high risk employee cohort, but also individuals who have reached the high risk group as a result of many different health issues (co-morbidities), lacking a personal physician, and inappropriately using the hospital or emergent care services for preventable problems. Plan members who are bouncing from one physician to another, because they may not understand what they need or where to obtain the requisite services, also present opportunities to improve clinical and financial metrics.

 

Tags: Population Health Management, Healthcare, Wellness, Health Status, Health, Behavior, Education, Support, Employers, Health Plan, Nurse Care, PHM, Healthcare System, Illness, Diagnose, Cancer, Chronic Condition, Diabetes, Dementia, Network, Treatment Plan, Provider, Medicines, Treatments, Physician, Health Plan Members, Clinical Metrics, Financial Metrics, Health Awareness, Data Analytics, Predictive Analytics Engine, Costs
Tom Keenan - Strategic Healthcare Initiatives, Inc.

Tom Keenan is a founding partner, and President of Strategic Healthcare Initiatives, Inc. Mr. Keenan has had a diverse career in insurance, health care strategies and healthy lifestyle programs. In his careers as a consultant and health care executive, he has had the opportunity to work closely with insurance companies, children’s hospitals and health care organizations providing “start-up” operations for HMOs, PPOs, and other insurance companies. The focus on healthy kids programs lead to the development of NonStop™ , a behavior modification program promoting an active lifestyle for children, and NonStop Fuel a healthy vending company.

Mr. Keenan holds a bachelor's degree in Business Administration from Indiana University.

Tags: President, Strategic Healthcare Initiatives, Insurance, Healthcare, Strategies, Healthy, Lifestyle, Programs, Consultant, Healthcare Executive, Hospital, HMO, PPO, NonStop, Behavior, Business Administration, Indiana University

Displaying: 1 - 5 of 5