Advanced Plan for Health Logo
 

Search Results

There are 10 item(s) tagged with the keyword "Care Management".

Displaying: 1 - 10 of 10

Determining & Managing Hepatitis C Healthcare Costs

July 28th is World Hepatitis Day and in observance we want to spread awareness to our readership about this debilitating and costly health condition, as well as some newer areas of cost containment.

Currently, the CDC website states that an “HCV infection becomes chronic in approximately 75%–85% of cases.” This contrasts with Acute Hepatitis C, which is a short-term version of Hepatitis C that lasts 6 months and is typically cured naturally by the body. It’s important to note that Acute Hepatitis C is not the same as Chronic Hepatitis C and that improper diagnosis / HCV management can lead to catastrophic conditions – such as Cirrhosis, Liver Cancer and Liver Failure.

Tags: Healthcare Costs, Predictive Analytics, Care Management, HCV Management, Value-Based Payment Model, Accreditation, FDA, Health Plan, Self-Funded, Liver Failure, Liver Cancer, Cirrhosis, Sovaldi, Hepatitis Medications, Chronic Hepatitis C, CDC, Centers for Disease Control and Prevention, HCV, Hepatitis C, World Hepatitis Day, Hepatitis
APH Counterpoints to Recent Workplace Wellness Study Findings

As our leadership team read the recent uChicago News article titled “Workplace wellness programs fail to improve health, study finds,” we felt compelled to share our counterpoints based on decades of experience supporting wellness and well-being programs that do drive quantifiable and significant results.

There are so many definitions of "workplace wellness" that we hope people won't over-generalize after seeing this article and study. Our clients are experiencing strong, measurable health and wellness program results due to analytics-driven proactive outreach and support.

Tags: TPAs, Brokers, JAMA Study, Stroke, Heart Attack, Chronic Kidney Disease, Re-admissions, Admissions, High Cost Claimants, Utilization Management, Care Management, Disease Management, Care Managers, Clinical Outreach, Predictive Analytics, Workplace Wellness, Wellness Program
Health Highlight of The Month – Parkinson's Disease

Tony Guevara, Advanced Plan for Health Marketing

April is Parkinson’s Disease Awareness Month, and April 11th is World Parkinson’s Day. In honor of this, we wanted to spread awareness of the diseases’ prevalence and information relative to best management practices.

Tags: Parkinson's Disease Awareness Month, PCP, Mayfield Clinic, Mileha Soneji, Disease Management, Primary Care Providers, Parkinson's Diagnosis, Freezing of Gait, Tremors, Parkinson's Symptoms, Care Management, Patient Care, Nuerology, World Parkinson's Day, Parkinson's Awareness Month, PD, Parkinson's, Drug Induced Parkinson's, Parkinson's Disease
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.

Tags: Hospice, End of Life Care, Pallative Care, Hospice Care, Care Management, Hospice Provider
Pre-Emptive and Analytics-Based Early Action Can Delay Kidney Dialysis, Reduce Plan Costs and Improve Quality of Life

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

Early intervention is the key to slowing or stopping chronic kidney disease (CKD), improving the quality of lives for those at risk and containing health plan costs. Avoiding dialysis for just one member represents a health plan savings of $350,000 to $700,00 per year, which more than pays for the CKD program by itself.

Tags: Kidney Dialysis, Predictive Analytics, Healthcare Costs, Care Management, Health Plan, Kidney Disease, Poindexter, Diabetes, High Blood Pressure
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
Nurse Care Navigators' Value to the Self-Insured Health Plan

To nurse care navigators, care management is exactly that – managing people with care. 

Mentoring clinicians and health plan professionals in learning how to guide and support people, wherever they are on the healthcare continuum, is my opportunity to pass on the secrets of population health management that so many wonderful professionals have shared with me.

Making a difference in people's health, while optimizing resources so that people and health plans get the desired results, is my idea of success.   

Tags: Advanced Plan for Health, Nurse Care Navigator, Self-Funded, Employers, Health Plan, Management, Action Items, Care Management, Health, Medical Management, Population Health Management, Healthcare, Spend, Bottom Line, Clinicians, Outcomes, Data, Poindexter, Predictive Modeling, Drill-Down, Opportunities, Individual Health Status, High Risk, Chronic Health Conditions, Health System
Chris Galanos - Director, Medical Services

Chris Galanos was Vice President Customer Solutions–Care Management for UMR, the third-party administrator (TPA) unit of UnitedHealthcare. He was responsible for the UMR portfolio of care   management services.

Tags: Bachelors, History, English, Texas Tech University, Harvard University, Harvard School of Public Health, Health, Customer Solutions, Care Management, UMR, Third Party Administrators, TPA, United Healthcare, Management, Sales, Medical Management, Strategic Planning, Product Development
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
Company Overview

We are specialists focused on successfully managing risk and optimizing health care benefits and costs; no matter the model of care or type of entity taking on financial risk. We've been in the advanced and predictive healthcare analytics space for years, which has allowed us to continually advance our solutions and refine our action plans so our clients gain unrivaled ROI.

Tags: Healthcare, Specialists, Professionals, Costs, Healthcare Solutions, Technology, Industry, Experience, Healthcare Provider, Management, Operations, Health Benefits, Health Insurance, Applied Technology, Care Management, Wellness, Managing Healthcare Risk, Optimize, Benefits, Model of Care, Financial Risk, Population Health, Advance, Data Analytics, Action Plans, ROI, Return on Investment

Displaying: 1 - 10 of 10