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There are 13 item(s) tagged with the keyword "Brokers".

Displaying: 1 - 10 of 13

Keys to Truly Impactful and Measurable Employer Health & Wellness Programs

With medical costs rising, pharmaceutical costs quickly meeting or exceeding medical costs and miraculous specialty drugs coming in at nosebleed costs, optimizing employee health and saving for catastrophic events is paramount to afford expensive lifesaving medicines and treatments, along with inevitable catastrophic cases that plague nearly every employer’s health plan.

Tags: Health Plan, Healthcare Costs, Wellness Program, Pharmaceutical Costs, Medical Costs, Brokers, TPAs, Health Insurers, Chronic Conditions, Benefit Design, Care Gaps, Population Health, Predictive Analytics, predictive modeling
New Diabetic Guidelines Aim to Improve Diabetic Care but Differ, Causing Confusion

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

All entities managing health plans – self-insured employers, health plans, brokers and more – need to take note of the impact of diabetes on the health of their members and the financial bottom line of their health plans. Particular focus needs to be put on the recent changes to care guidelines for diabetic control as they aim to improve diabetic care – but differ –  which is causing confusion.

Tags: Diabetes, Health Plans, Self-Insured Employers, Brokers, Chronic Disease, Nurse Care Navigators, ADA, Guidelines, HbA1c, America's Health Insurance Plans, Diabetes Guidelines
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
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
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. 

Tags: Self-Insured, Employers, Health Insurance, Brokers, Consultants, Benefits Manager, Population Health Management, Health Benefits, Health Savings, Plan Design, Affordable Care Act, ACA, Healthcare Costs, Predictive Analytics, Healthcare System, Employee Health Insurance Costs, Data Analysis, Data Transparency, Improve Health, Population Health, Medications, Rx
Prospecting, Networking and Lead-Gen at 2017 Hottest Shows: Employee Benefit News (EBN), America's Health Insurance Plans (AHIP) and International Foundation of Employee Benefit Plans (IFEBP)

Every year a vast selection of healthcare conferences, expos and tradeshows are carried out throughout the country. Undeniably, some of these shows provide greater target-rich environments for prospect8ng and lead-gen, opportunities to showcase or advertise your product, and to establish your company or brand as a leader in the industry. Let’s look at some of the top shows for Population Health, Health Benefits, and Health Plans for 2017.

Tags: Healthcare, Conferences, Expos, Tradeshows, Population Health, Health Benefits, Health Plans, Demographics, Attendees, EBN, Employee Benefits Network, Brokers, TPA, Benefit Analysts, Benefit Service Providers, Senior Executives, America's Health Insurance Plans, Taft Hartley, Coalition Leaders, Fund Administrators
Telecommunication (Telemedicine) And Healthcare Management

Technology has significantly advanced within the healthcare industry over the past decade. From the Affordable Care Act to wearable device technology, healthcare is transitioning to a more comprehensive, accessible, interoperable and personalized way of managing population health. Employers, health insurance brokers and health plan providers who do not adapt to the rapidly shifting health management landscape will struggle to keep up with the clinical and financial outcomes of those who embrace the new opportunities provided by modern day technology.

Tags: Technology, Healthcare, Industry, ACA, Affordable Care Act, Wearable Device, Population Health, Employers, Health Insurance, Brokers, Health Plan, Providers, Health Management, Clinical, Financial, Outcomes, Telemedicine, Treatment, Patients, Telecommunication, Data, Software Engine, Healthcare Analysis, The American Telemedicine Association, Hospitals, Home Health, Private Physician, Member Population, Telehealth, Healthcare Network, Patient, Consultation, e-Health, Patient Portals, Remote Monitoring, Medical Education, Cost, Chronis Disease, ER, Admissions, Readmission, Benefits Plan
The Self-Insured Employer: By The Numbers

The further we venture into our modern healthcare system, it becomes more apparent that the self-insured employer understands their potential to slash healthcare costs by creating and effectively implementing custom population health management programs. This is not so surprising of a trend, considering that health policy architects designed the Affordable Care Act and quality-based reimbursement initiatives to stem rising healthcare costs through population health management, as we reported in our ebook, "The New Broker."

Tags: Population Health Management, Self-Insured, Employer, Healthcare, Costs, Affordable Care Act, Medical Plan, Health Insurance, High Cost Members, Wellness, Disease Management, ROI, Employee, Data, Trends, Leadership, Brokers, Benefits Management, CEO, CFO
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

Displaying: 1 - 10 of 13