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There are 13 item(s) tagged with the keyword "Self-Insured".

Displaying: 1 - 10 of 13

Employee Benefits News: Views A silent, life-threatening epidemic that needs to be on employers' radar

By Barbara Rutkowski
Published December 08 2017, 12:10pm EST

Employers across the country have been putting greater emphasis on the health of their employees over the last few years — it’s both the right thing to do and can help to save on insurance premiums. Particularly for self-insured employers, having a healthy population can be an important success factor for any business.

With that in mind, there are some diseases that employers should be aware of due to their very serious nature and the potentially devastating impact on insurance costs. One of them is Non-Alcoholic Fatty Liver Disease. Is it on your radar?

Read more here.

Barbara Rutkowski, EdD, MSN, CCM is vice president, clinical operations at Advanced Plan for Health.

Tags: Kidney Failure, Epidemic, Providers, Health Insurers, Type 2, Diabetes, NAFLD, Predictive Analytics, Health Costs, Liver Transplant, Self-Insured, Employers
38th Annual National Educational Conference & Expo

APH at BOOTH 218
September 23-26, 2018
Austin, TX

SIIA’s National Educational Conference & Expo is the world’s largest event dedicated exclusively to the self-insurance/alternative risk transfer industry. Registrants will enjoy a cutting-edge educational program combined with unique networking opportunities, and a world-class tradeshow of industry product and service providers guaranteed to provide exceptional value.

Tags: Self-Insured, SIIA, Healthcare, Tradeshow
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
Questions for the Self-Insured Employers to Consider When Selecting a Benefits Broker

For self-insured employers, selecting a broker is without a doubt one of the most important parts of designing a health benefits plan. It’s important to select a broker who understands the nuances of plan design and who can quickly adapt to the rapidly shifting health coverage and policy landscape. Employers need an ombudsman, a consultant with the know-how, resources and technological tools, including predictive analytics, to expertly navigate and take advantage of the current healthcare system. 

Tags: Self-Insured, Employers, Health Insurance, Brokers, Consultants, Benefits Manager, Population Health Management, Health Benefits, Health Savings, Plan Design, Affordable Care Act, ACA, Healthcare Costs, Predictive Analytics, Healthcare System, Employee Health Insurance Costs, Data Analysis, Data Transparency, Improve Health, Population Health, Medications, Rx
20 Daily Minutes of Stress-Free Recreation in the Workforce and What It Could Mean to Employers

In the above quote, TV powerhouse Oprah Winfrey, is discussing the positive effects of one type of wellness activity that has shown promise in the workplace: meditation and how it can promote a healthier, and compliant employee population.

Tags: Oprah Winfrey, Self-Insured, Employers, Wellness Program, Employee Health, Care Coordination, Member Compliance, Case Management, Predictive Modeling, Data Analysis, Health Intelligence, Population Health, Health Plan, Meditation, Reduced Stress, Reduced Anxiety, Reduced Depression, Reduced High Blood Pressure, Smoking Cessation, Heart Disease, Healthcare Costs
Advanced Plan for Health unveils predictive analytics to fine-tune population health

The new platform enables self-insured employers to predict health events, hospital admissions, length of stay and other incidents.

Tags: Self-Insured
Advanced Plan for Health Upgrades Next-Generation Predictive Analytics On Poindexter Population Health Management Platform

Poindexter’s newest release pushes the boundaries of predictive modeling by determining the likelihood of an occurrence of coronary events, neurological events, orthopedic events and chronic kidney disease. In addition, Poindexter now has the ability to predict hospital length of stay and general likelihood of an ER visit for any member of a patient population.  

Third-party Administrators (TPAs) and brokers can leverage Poindexter’s new functionality to better identify at-risk individuals in their customers’ insured population. Employers with self-funded health plans can directly benefit, too.

Tags: Predictive Modeling, Population Health Management, Self-Insured, Employers, Health, Data Science, Actionable Data, Coronary Events, Neurological Events, Third Party Administrators, TPA, Health Insurance Brokers
What Does Unsurpassable Drill-Down and Data Management Do?

As a result of health reform, the role of the broker and health benefits consultant has changed. Employers are demanding more strategic guidance and rigorous data analysis to help them better manage their health plan amid skyrocketing costs. Reform pushes brokers and consultants to provide self-funded employer clients with a clear view of their plan and actionable steps for improving plan performance. 

Tags: Self-Insured, Data Drill-Down, Predictive Modeling, Data Management, health reform, broker, health, benefits consultant, employers, data analysis, self-funded, claims data, population health management, medication lists, specialists, chronic disease, patients, eBook, costs, database, trends, user-friendly, tool, cost centers, copays, predictive analytics, poindexter, individual health status
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

Displaying: 1 - 10 of 13