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There are 11 item(s) tagged with the keyword "Health Plans".

Displaying: 1 - 10 of 11

America is Losing Ground on Dire Diabetes Complications: Let's Turn It Around

Epidemiologic and statistical experts from the diabetes division of the Center for Disease Control and Prevention (CDC) wrote an important article on the surge of diabetes complications between 2010 and 2015, largely due to lifestyle modifiable factors in the May 21, 2019 issue of JAMA. The article is a dire warning about young (age 18-44) and middle-aged (age 45-64) adults who disproportionately represented the resurgence in diabetes complications.

While work needs to continue to better understand the demographics and behaviors of subsets in these age groups, the message is that we have to do more to prevent diabetes and reach diabetic individuals who are on a collision course with serious maladies.

APH is dedicated to reversing this untoward trend – and has done so for many clients – but there is more work to do.

Tags: Metabolic Syndrome, Metabolic Syndrome, Prediabetes, American Diabetes Association, Hemoglobin A1C, Obesity, Obesity, Preventice Care, Health Plans, Glycemic Control, Diabetes Preventive Care, Cardiovascular Disease, Stroke, Hyperglycemic Crisis, End Stage Renal Disease, Hospital Admissions, Emergency Department, Diabetic Complications, Acute Myocardial Infarction, Kidney Failure, Predictive Analytics, Poindexter, JAMA, CDC, Center for Disease Control, Diabetes
Would Your Health Plan Pay for a Transplant with an HCV-Infected Organ?

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health and Yvonne Daugherty, VP of Development, Advanced Plan for Health

There are about 99,000 Americans listed for a transplant, some for many years. Unfortunately, about 4,800 die each year while they wait for their transplant. Not everyone is at the top of the transplant list nor do they have the remaining life and / or health to undergo the procedure if the wait is too long.

Expanding the available organ pool can save lives and reduce overall costs in many cases.

There is a relatively new source of organs available from deceased individuals infected with Hepatitis C (HCV-infected). These organs were formerly discarded, but they are now being utilized... 

Tags: Organ Transplant, Kidney Transplant, Heart Transplant, Dialysis, Kidney Dialysis, Hepatitis C, HCV Infected, Healthcare Costs, Health Plans, Liver Transplant, Viral Disease
Combatting the Crisis in Drug-Resistant Infections and Treatment

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health

A lot has happened since Alexander Fleming accidentally discovered Penicillin in 1928 after a chance exposure of staphylococcus to penicillin mold.  For his discovery, he won the Nobel Prize after penicillin was commercialized in 1945, used successfully for war wounds and surgery in World War II and hailed as the “miracle drug”. In his acceptance speech, Fleming admonished the world to beware that bacteria would become resistant in time.

Tags: Penicillin, Alexander Fleming, Antibiotics, Health Plans, Healthcare Providers, CDC Study, Hospitals, Prevention, FDA, Analytics, Advanced Plan for Health
Broker World - Surprise Bills Strike Again: What Your Clients Need To Know by APH's Barbara Rutkowski & Joy McGee-Cory

By Barbara Rutkowski  &  Joy McGee-Cory - Advanced Plan for Health

Published in the June 2018 edition of Broker World

Health plans, employers and members are experiencing unexpected and very unpleasant surprises following certain complex surgical procedures, usually spine-related. The surprises are coming in the way of bills for intraoperative neurologic monitoring (IONM)—and can sometimes reach into six figures!

During IONM, a technician or physician observes neural structures, such as nerves, the spinal cord and parts of the brain, to identify issues that could damage the nervous system. By noting any potential for damage in real time, corrective action can be taken during surgery.

Read more here. 

Joy McGee-Cory is Senior Vice President, Advanced Plan for Health & Barbara Rutkowski, EdD, MSN, CCM - is Vice President, Clinical Operations, Advanced Plan for Health

Tags: IONM, Health Plans, Employers, Intraoperative Neurologic Monitoring
New Diabetic Guidelines Aim to Improve Diabetic Care but Differ, Causing Confusion

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health

All entities managing health plans – self-insured employers, health plans, brokers and more – need to take note of the impact of diabetes on the health of their members and the financial bottom line of their health plans. Particular focus needs to be put on the recent changes to care guidelines for diabetic control as they aim to improve diabetic care – but differ –  which is causing confusion.

Tags: Diabetes, Health Plans, Self-Insured Employers, Brokers, Chronic Disease, Nurse Care Navigators, ADA, Guidelines, HbA1c, America's Health Insurance Plans, Diabetes Guidelines
Prospecting, Networking and Lead-Gen at 2017 Hottest Shows: Employee Benefit News (EBN), America's Health Insurance Plans (AHIP) and International Foundation of Employee Benefit Plans (IFEBP)

Every year a vast selection of healthcare conferences, expos and tradeshows are carried out throughout the country. Undeniably, some of these shows provide greater target-rich environments for prospect8ng and lead-gen, opportunities to showcase or advertise your product, and to establish your company or brand as a leader in the industry. Let’s look at some of the top shows for Population Health, Health Benefits, and Health Plans for 2017.

Tags: Healthcare, Conferences, Expos, Tradeshows, Population Health, Health Benefits, Health Plans, Demographics, Attendees, EBN, Employee Benefits Network, Brokers, TPA, Benefit Analysts, Benefit Service Providers, Senior Executives, America's Health Insurance Plans, Taft Hartley, Coalition Leaders, Fund Administrators
Data Analytics Enables Health Plans to Predict When Employees Need Health Services and For How Long

Speaking of wellness programs, if analytics can predict and help employers better design their health plans, couldn’t the technology also be used to help prevent or put off more adverse and expensive health events

Tags: Wellness Program, Analytics, Predict, Employers, Design, Health Plans, Technology, Health, Expensive
The Key to Retaining Self-funded Clients

It’s no secret that U.S. healthcare costs have skyrocketed in recent decades. As a result, employers are demanding more strategic guidance and rigorous data analysis to help them better manage their health plans. 

Tags: Self-Funded, Healthcare, Costs, Employers, Data Analysis, Health Plans
Neil Godbey - President/CEO

Neil Godbey is President/CEO of The Godbey Group and Chairman/CEO of the Advanced Plan for Health. Mr. Godbey has extensive experience in the healthcare industry.

Tags: President, CEO, The Godbey Group, Advanced Plan for Health, Experience, Healthcare, Industry, Operations, Management, Urgent Care, Occupational Medicine, Clinics, Mobil Diagnostics, Hospital, Nursing, Home Management, Start-Up, Managed Care, Organization, IPA, HMO, Strategic, Mergers, Acquisitions, Development, Healthcare Companies, Health Plans, Care Centers, Physician, Health System, Toledo, University, Masters of Business, Administration, Texas Christian University, Healthcare Provider
Neil Godbey - President/CEO

Neil Godbey is President/CEO of The Godbey Group and Chairman/CEO of the Advanced Plan for Health. Mr. Godbey has extensive experience in the healthcare industry.

Tags: President, CEO, The Godbey Group, Advanced Plan for Health, Experience, Healthcare, Industry, Operations, Management, Urgent Care, Occupational Medicine, Clinics, Mobil Diagnostics, Hospital, Nursing, Home Management, Start-Up, Managed Care, Oranization, IPA, HMO, Strategic, Mergers, Acquisitions, Development, Healthcare Companies, Health Plans, Care Centers, Physicians, Health System, Healthcare Provider, Toledo, University, Masters of Business, Administration, Texas Christian University

Displaying: 1 - 10 of 11