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There are 21 item(s) tagged with the keyword "Data".

Displaying: 1 - 10 of 21

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
The Benefits to Brokers, Self-Funded Employers of Leveraging Healthcare Quality Transparency

When the success and shortcomings of these healthcare providers and facilities is made public, it helps to foster an arena for constant competitive improvement in the marketplace. Providers and facilities are made more accountable and healthcare consumers get the proverbial “bigger bang for their buck."

Tags: Health Plan, Costs, Benefits Managers, Self-Funded, Medical Procedures, Healthcare Transparency, Data, Group Benefits, Outcomes, Healthcare Services, MPIRICA, Physician, Surgery Quality, Employers, Population Health Management, Data Analysis
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
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
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
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
How The New Broker Can Take The Lead With Predictive Modeling

Data analytics is the current and most effective means to achieving population health management, but let’s face it: To many employers, population health management is merely a health-benefits catchphrase, an empty expression that represents a goal but lacks the means to achieve it. However, in the right hands, data analysis is much more than that. Data analysis gives brokers the edge to fulfill population health management goals by providing common-sense human interactions to take action on the steps identified for plan performance.

Tags: Data, Analytics, Population Health Management, Employers, Health-Benefits, Health Plan, Data Scientist, Solution, Self-Insured, Outcomes, Healthier, ROI, Disease Management, Predictive Modeling, Trends, Costs, Company Health, Risk, Gaps in Care, Care Gaps, Predict Conditions, Admissions, Re-admissions
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 21