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There are 8 item(s) tagged with the keyword "ER Utilization".

Displaying: 1 - 8 of 8

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
Ongoing Education on Alternate Sites of Care Can Reduce Inappropriate ER Utilization

With higher and higher ER bills coming in to the plan and members, employers are learning that it’s more important than ever for them to make sure that continual reminders are sent to their employees and members about which conditions can be handled by more convenient and lower cost sites of care such as a nurse advice line, telehealth (which often also covers behavioral health), on-site or retail clinic or urgent care. They’re also sharing details on how to reach these resources, and how much lower out-of-pocket costs will be to members who utilize them versus the ER. Keeping this information top of mind when it’s needed is the key to effective communications in this area.

Tags: ER Utilization, Health Plan, Employers, Telehealth, ER Bills, Urgent Care, Non-Emergent Care, Emergency Room, Utilization
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
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
What Benefits Managers Can Do Today to Immediately Reduce Healthcare Costs

The ability to predict and address costly healthcare patterns linked to an individual’s behavior is the holy grail of data analysis for health plan performance. Employers need the ability to determine whether a particular employee is highly likely to result in excessive costs that could otherwise be moderated by alerting the local health provider to take immediate actions.

Tags: Benefits Managers, Healthcare, Healthcare Costs, health plan, self-insured, medication, data, patient, pharmacy, primary care physician, employee, chronic care, reduce cost, ER Utilization, wellness program, population, claims data, plan members, predict healthcare, local health provider
Meet Poindexter
Tags: Predictive Analytics, Care Plan Provider, Health Insurance, Poindexter, Health Plan, Healthcare Costs, Medical Costs, Population Health Management, Data Analysis, Risk, Track Results, Reduce Costs, ER Utilization
Invaluable Advice from a Pioneering Data Analytics CEO

Mr. Godbey recently published a pair of bylined articles full of health management insights and advice. Below are a few highlights from those articles.

The advice that Mr. Godbey provides in these articles is well-founded, actionable and based on years of experience and success in evidence-based solutions.

Tags: population health, data science, predictive modeling, analytics, health plan, healthcare, health management, brokers, consultants, self-funded, claims data, patient, data, trends, member, High Cost Members, stop-loss, reinsurance, costs, analytics, reports, pharmacies, physician, ER Utilization, chronic care, wellness program, poindexter
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APH helps you manage health care costs, identify and predicts risk, and improve health outcomes. When you need real results, you need APH.

Tags: Broker, Health Insurance, Health Plan, Sefl-Insured, Self-funded, Population Health Management, Medical Costs, Analysis, Risk, Predictive Modeling, Track Results, Reduce Costs, ER Utilization, Poindexter, Employee Population

Displaying: 1 - 8 of 8