There are 5 item(s) tagged with the keyword "Third Party Administrators".
Displaying: 1 - 5 of 5
- What more do employer groups expect from their health plan or TPA?
In this busy selling season for TPAs and health plans, we wanted to share an updated eBook that outlines some of what the Advanced Plan for Health is hearing from our TPA, health plan and employer clients related to what employers are really looking for as they’re shopping for benefits.
Here’s an excerpt:
Providing your employer clients with the right mix of services and support boosts your chances of standing out and winning and retaining their business. Fortunately, most self-insured employers want the same thing: healthy employees, positive employee healthcare experiences and reduced costs. Sounds simple enough, but how can you be sure that you are offering the best solutions in today’s strained and ever-changing healthcare environment so that you can continue to differentiate yourself and show value?
- 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.
- 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.
- Chris Galanos - Director, Medical Services
Chris Galanos was Vice President Customer Solutions–Care Management for UMR, the third-party administrator (TPA) unit of UnitedHealthcare. He was responsible for the UMR portfolio of care management services.
- 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.
Displaying: 1 - 5 of 5