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There are 3 item(s) tagged with the keyword "Group Benefits".

Displaying: 1 - 3 of 3

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
Analytics, Group Benefits Design and The Battle Against Addiction

Like the war general, the best benefits brokers know that implementing a good benefits plan (or war plan) requires a mixture of science, art, technology and even psychology. When it comes to preempting costly diseases and health plan pitfalls, anticipation and an outside-of-the-box mentality is everything. To have a comprehensive understanding on how individuals function and behave within the health plan design is to be a step ahead of the curve.

Tags: Disease, Health Plan, Data Analytics, Group Benefits, Data Reporting, Benefit Brokers, Health Insurance, Addiction, Smoking, Prescriptions, Physician, Population Health, Cost Prevention, Benefits Plan, Case Managers, Rx Costs, Health Outcomes, Individual Reporting, Individual Level
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

Displaying: 1 - 3 of 3