Advanced Plan for Health Logo
 

Search Results

There are 9 item(s) tagged with the keyword "Chronic Conditions".

Displaying: 1 - 9 of 9

Influence on Lifestyle Change Does Have an Impact on Outcomes

Once populations are targeted for support and intervention via our Poindexter advanced and predictive analytics (via current state and predicted risk factors), we’ve found that one of the most effective ways to support targeted employees and members is through live or telephonic nurse influence and intervention.

Nurses are able to deliver individuals the education and support they need to make important lifestyle and preventative care changes. This is one of the most effective programs that we’ve seen in delivering needed outcomes.

Tags: Healthcare Outcomes, Predictive Analytics, Population Health, Poindexter, Employee Health, Chronic Conditions, ER Utilization, Preventive Care, Hypertension, Case Management, Disease Management, Healthcare Analytics, Social Determinants of Health, Hypertension, High Cholesterol, Co-Morbidities, Population Health Analytics, Population Health Management, Health Outcomes, Diabetes
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
Taking the final mile with Population Health data findings - Nurse Navigation is one avenue

More and more frequently, our current and prospective employer group clients will ask us what we see as the most effective avenues to support employees and members who have been identified through analytics for outreach and support.

There are many avenues that our clients are taking to get individuals the education and support they need. Nurse Navigation is one of the most effective programs that we’re partnering with our clients to launch and manage. We thought this would be a good topic to cover during National Nurses Week.

Tags: Nurse, ER Utilization, Gaps in Care, Employers, Health Plan, Chronic Conditions, Analytics, Poindexter, Health, Nurse Navigators, Population Health Analytics, Population Health Management, RN, Predictive Analytics, Healthcare Analytics, Healthcare, Healthcare Informatics
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
Three of the Costliest Health Conditions Ravaging Your Health Plan, and Steps for Prevention

High-cost claimants are only a part of the equation. There is a secondary subset of the insured population who are at-risk of entering the 5-7% of highest cost claimants that predictive modeling can uncover and help address. Not all predictive modeling engines have the capability to identify this subset of the employee population, but with Advanced Plan for Health’s Poindexter’s predictive modeling capabilities, determining the likelihood of an occurrence of coronary events, neurological events, orthopedic events and chronic kidney disease is made easy. Once interventions are made to improve the health of at-risk patients, the analytics system can retrospectively report actual cost versus the original predictive model to measure the positive health and financial effects the interventions created. Without the predictive-modelling enabled ability to identify those at-risk and intervene with targeted prevention strategies, health plan optimization will always be an uphill battle. 

Tags: Population Health, Health Plan, Chronic Conditions, Plan Costs, Employee Population, High-Cost Claimants, Diseases, Diabetes, Cardiovascular Disease, Pulmonary Heart Disease, Primary Care Physician, Healthcare, Wellness Managers, Health Outcomes, Wellness Program, Predictive Modeling, Data Analytics, Case Managers, Care Managers, Improve Outcomes, Lower Costs, Poindexter, Analytic Engine, Bottom-Line, Treatment Plan
Predictive analytics in healthcare helps manage high-risk patients

Predictive analytics in healthcare can benefit organizations two-fold. This technology not only helps better manage a population but also better handle claims and save money.

Tags: Predictive Analytics, Technology, Health, Actionable Data, Claims, Healthcare, Advanced Plan for Health, Poindexter, Nurse Navigator, Data, Risk Modeling, Chronic Conditions
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

Displaying: 1 - 9 of 9