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

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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
Informed and Healthy Employees Make for Healthy Benefit Plans

Employers have found that it is not only the catastrophic conditions inherent in the high risk employee cohort, but also individuals who have reached the high risk group as a result of many different health issues (co-morbidities), lacking a personal physician, and inappropriately using the hospital or emergent care services for preventable problems. Plan members who are bouncing from one physician to another, because they may not understand what they need or where to obtain the requisite services, also present opportunities to improve clinical and financial metrics.

 

Tags: Population Health Management, Healthcare, Wellness, Health Status, Health, Behavior, Education, Support, Employers, Health Plan, Nurse Care, PHM, Healthcare System, Illness, Diagnose, Cancer, Chronic Condition, Diabetes, Dementia, Network, Treatment Plan, Provider, Medicines, Treatments, Physician, Health Plan Members, Clinical Metrics, Financial Metrics, Health Awareness, Data Analytics, Predictive Analytics Engine, Costs
How to Impact Clinical and Financial Outcomes: The NCN Initiative

Improving the health of your employees and health plan, while positively impacting clinical and financial outcomes, is critical to getting the best benefit. This blog explains how to do it. To ensure cost-effective, quality health care, you need to control and manage your health plan like you do your core business. That means making sure that clinical and wellness initiatives are working as intended, and integrated among the member, insurer, plan and the provider team. 

Tags: care management, Nurse, PHM, Population Health, Health Plan, Big Data, claims, pharmacy, reports, employee, cost, wellness, data, transparency, utilization, self-insured, bottom line, poindexter, employer, well-being, biometric data, lab data, medical, clinical outcomes, financial outcomes

Displaying: 1 - 3 of 3