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

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Imagine getting eight engagement calls from your health plan in one week...

Engaging and educating healthcare consumers on plan benefits, cost-saving options, health risks, as well as the benefits of closing gaps in care can spur action and the desired results. But disconnected messaging via multiple outreaches can cause aggravation and discontent. Even leading to member attrition.

Tags: Health Plan, Support Program, Members, High Blood Pressure, Prescription, Flu Shot, Carrier, Educate, Healthcare Consumers, Plan Benefits, Cost Savings, Health Risk, Benefits, Gaps in Care, Member Abrasion, Outreach Strategies, Analytics, Longitudinal Analytics, Comprehensive Analytics, Identify Target Groups, Advanced Plan for Health, Member Population Costs, Medical Claims, Pharmacy Claims, Lab Biometrics, EMR data, HRAs, Analytics Platform, Poindexter, Track Results, Measure Program Success, Member Engagement
6 Costly Healthcare Myths

The healthcare system can be a confusing place for someone who is well, let alone someone who is sick and in need of help. Oftentimes, health plan members do not know their benefits and can seek care in the wrong place; like the ER when the problem is not urgent, or outside their network, which means they may incur an expensive and unexpected bill. This confusion can cause delays in treatment and less than desirable outcomes; as well as an increase of cost to everyone involved--from the patient to the health plan itself.

Tags: ER, Healthcare, Utilization, Health Plan, Hospitalists, Care Physician, PCP, Medications, Inpatient, Readmission, System, Members, Primary Care, Health Outcomes, Provider, Patient, Manage, Poindexter, Data, Claims
By Barbara Rutkowski - Vice President, Clinical Operations
Joy McGee-Cory - President CEBG/Senior Vice President Advanced Plan for Health

Joy McGee-Cory advises health systems, managed care organizations, integrated delivery systems, and physician groups on managed care operations, provider compensation and contracting, regulatory compliance, and accreditation issues.

Tags: Health Systems, Managed Care Organizations, Integrated Delivery Systems, Physician Groups, Managed Care, Provider Compensation, Contracting, Regulatory Compliance, Accreditation, Analysis, Proposal Development, Employer-Sponsored, Health Plan, Provider Network, TPA, Third Party Administrators, Medical, Management, Data, Firms, Policies, Procedures, Utilization Review Agent, URA, Medical Review Organization Certification, National Committee for Quality Assurance, Assessment, NCQA, Policy, Procedure, Payor, Reimbursement, Analysis, CEO, Members, CHIP, Participants, Market, COO, IPA, Capitated, Senior-Vice President, Medical Education, Hospital-Physician, Medical Group, Masters, Business Administration, University of Arkansas, Certified Physician Management Executive, Certified Purchasing Manager, Medical Group Management Association, Texas Association of Preferred Provider Organizations, TAPPO, Nonprofit Health Corporations

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