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There are 9 item(s) tagged with the keyword "Big Data".

Displaying: 1 - 9 of 9

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
Elements of Top-Notch Data Analytics Risk Engine

In today’s healthcare world, benefits brokers are primed to gain a competitive edge through harnessing the power of big data analytics. With the right analytics engine, brokers can streamline risk analysis to provide their clients with key insights – at micro and macro levels – that shed light on crucial aspects of their member population and generate actionable results (1 Year $1 Million Saved: CEBG). The next major step in healthcare technology is here and ready to assist in the effort to improve population health.

Tags: Healthcare, Data, Analytics, Engine, Benefits, Brokers, Insurance, Big Data, Member, Population Health, Insight, Claims, Management, Compliance, Preventive, Customization, Predictive Analytics, Care Gaps, Health, Risk Score, Identify, Admissions, Re-admissions, Employers
How to Impact Clinical and Financial Outcomes: The NCN Initiative

Improving the health of your employees and health plan, while positively impacting clinical and financial outcomes, is critical to getting the best benefit. This blog explains how to do it. To ensure cost-effective, quality health care, you need to control and manage your health plan like you do your core business. That means making sure that clinical and wellness initiatives are working as intended, and integrated among the member, insurer, plan and the provider team. 

Tags: care management, Nurse, PHM, Population Health, Health Plan, Big Data, claims, pharmacy, reports, employee, cost, wellness, data, transparency, utilization, self-insured, bottom line, poindexter, employer, well-being, biometric data, lab data, medical, clinical outcomes, financial outcomes
Healthcare Moves into the 21st Century

Innovation is defined as a new idea, more effective device or process. Healthcare is widely considered one of the least innovative business sectors by the tech industry and yet, according to a recent survey by Ketchum, consumers value innovation in healthcare above innovation in all other industries. Considering that many doctors still fax prescriptions to pharmacies to be filled, it shouldn’t come as a surprise that this group is slow to adopt technological advances. Things are changing though. 

Tags: EHR, Healthcare, Technology, Big Data, Wearables, Population Health Management, Predictive Analytics, ACA, Telehealth, Innovation, Prescription, Pharmacy, Pedometer, Fitness Tracker, Medical Care, Lab, Risk, Employers, Health Plan, Analyze
Good Things Come in All Packages

There are many  regulatory and alluring incentives that come with self-funding, such as  avoiding medical loss ratio requirements or exemption from the health insurance tax mandated by the ACA, but in order to more accurately weigh the risk vs. reward of self-funding, the following questions should first be answered: 

Tags: Self-Funding, Employee Health Insurance, ACA, Affordable Care Act, Big Data, King Vs. Burwell, Health Plan, Chronic Conditions, Predictive Analytics, Health Insurance, Risk, Plan Members, Premuim, Disease, Home-Healthcare, Prescription, Benefits
Weighing Wellness with Poindexter

In the advent of Big Data and Predictive Analytics, a time when it is becoming more expensive to remain neutral in regards to company health improvement, 60% of corporations  are attempting to implement effective, cost reductive wellness programs. Does this mean all 60% percent of these companies are experiencing improved ROI and a lower bottom line? Perhaps the easiest way to answer that question is to ask another; does everyone fulfill their New Years’ resolution?

Tags: Wellness, Population Health, Health Plan, Measure, Analyze, Benchmark, Risk Assessment, Big Data, Predictive Analytics, Company Health, ROI, Utilization, Benefit, Analysis, Disease Management, Chronic Conditions
Identify Locate Track Guide
Tags: Big Data, Predictive Modeling, Poindexter, Actionable Intelligence
Poindexter Predictive Modeling Engine

Poindexter, our data analytics risk engine custom-built for population health management. This tool provides dynamic, reliable insight into your population. With Poindexter you have access to essential insights in just a few simple clicks, whether you are at the strategic, provider or clinical user level. With Poindexter, you have the guidance to work smarter and stay focused without losing the “big picture” perspective. Macro trends can be detailed and compared over time with the ability to drill to specific drivers in minutes—all at your fingertips; no need to wait for answers you need today to stay on track.

Poindexter enables revolutionary predictive modeling by looking at the whole individual, as well as group trends, by examining hard data in a practical format and factoring in the impact of rapid changes in healthcare. The result is the ability to predict conditions, trends, gaps in care, admissions and re-admissions- six to 12 months in advance. This analysis of individuals within a population ultimately identifies opportunities and risks; key information in the creation of APH's customized action plans.

Tags: Population Health Management, Data Analytics, Tool, Insight, Population, Poindexter, Predictive Modeling, Big Data, Trends, Healthcare, Conditions, Gaps in Care, Admissions, Readmission, Analysis, Individual health status, Costs, Risk Score, behavioral analytics, Hospital, Care Management, Health, Better Health, Lifestyle, Risk Prevention, Management, Compliance, Business, Guidance, Intervention, Benefits
Markets

We work together with clients and their partners to provide the visibility they need to manage health risk and cost. Our expertise complements the information you currently have at hand to give you and your team a clearer view and practical action plans.

Tags: Population Health, Healthcare, Risk, Reduce Medical Spend, Health, individual health status, Employers, Brokers, Providers, ACO, Health Plans, Consultants, TPA, Health Insurance, Big Data, Data Science, Solution, Modeling, Cost-Saving, Self-Funded, Technology, Predictive Analytics

Displaying: 1 - 9 of 9