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There are 15 item(s) tagged with the keyword "Healthcare Costs".

Displaying: 1 - 10 of 15

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
Keys to Truly Impactful and Measurable Employer Health & Wellness Programs

With medical costs rising, pharmaceutical costs quickly meeting or exceeding medical costs and miraculous specialty drugs coming in at nosebleed costs, optimizing employee health and saving for catastrophic events is paramount to afford expensive lifesaving medicines and treatments, along with inevitable catastrophic cases that plague nearly every employer’s health plan.

Tags: Health Plan, Healthcare Costs, Wellness Program, Pharmaceutical Costs, Medical Costs, Brokers, TPAs, Health Insurers, Chronic Conditions, Benefit Design, Care Gaps, Population Health, Predictive Analytics, predictive modeling
Pre-Emptive and Analytics-Based Early Action Can Delay Kidney Dialysis, Reduce Plan Costs and Improve Quality of Life

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

Early intervention is the key to slowing or stopping chronic kidney disease (CKD), improving the quality of lives for those at risk and containing health plan costs. Avoiding dialysis for just one member represents a health plan savings of $350,000 to $700,00 per year, which more than pays for the CKD program by itself.

Tags: Kidney Dialysis, Predictive Analytics, Healthcare Costs, Care Management, Health Plan, Kidney Disease, Poindexter, Diabetes, High Blood Pressure
Benefits Pro: Kidney failure and dialysis: what employers need to know - by Joy McGee-Cory & Barbara Rutkowski

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

Published February 27, 2018

Chronic kidney disease is a health crisis that affects employer and employees—and it continues to increase. So, what can employers do to help their employees stay healthy and control their costs?

According to the National Kidney Foundation, “the annual Medicare spending to treat kidney failure in the U.S. is approximately $31 billion.”

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: Chronic Kidney Disease, Dialysis, Kidney Failure, Healthcare Costs, Medicare, Benefits Pro
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
Competitive Advantages That Every Health Insurance Broker Should Know

The webinar included Business Insurance, Advanced Plan for Health, Turner Industries and BancorpSouth Insurance Services, Inc. and offered insights on how to leverage advanced analytics throughout the year at various points in the annual sales and service cycle. It also outlined real-world case studies of health data analytics in practice, resulting ROI and the many benefits analytics has on health plan performance and the competitive advantages it can provide brokers looking to set themselves apart from the crowd.

Tags: Webinar, Business Insurance, Health Plan, Advanced Plan for Health, APH, Population Health Management, Predictive Analytics, Health Insurance Broker, Health Insurance, Predictive Analytics, Health Data, Interoperability, Business Tool, Predict Risk, Predictive Modeling, Healthcare Costs, Self-Funded, Stop-Loss, Self-Insurance, Gaps in Care, Gaps in Care
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
3 Quick Tips: Open Enrollment

We are now in the midst of open enrollment season, which probably means you have been bombarded with health insurance plan options and are now ready or nearly ready to make a choice. Employer’s want to make sure you choose the plan that not only makes sense to you and your lifestyle, but to the company’s bottom line as well.

Here are a few quick tips to consider in choosing the health plan that works best for both parties.

Tags: Open Enrollment, Health Insurance, Health Plan, President-Elect, Healthcare, Policies, Administration, Wellness Program, Benefits Plan, Wearables, Discounts, Premiums, Physical Examination, Healthcare Costs, Deductibles, Stop Loss, Co-Insurance, Chronic Condition, Primary Care Physician, Network, Generic, Brand Drugs, HR Department, Meditation
What Benefits Managers Can Do Today to Immediately Reduce Healthcare Costs

The ability to predict and address costly healthcare patterns linked to an individual’s behavior is the holy grail of data analysis for health plan performance. Employers need the ability to determine whether a particular employee is highly likely to result in excessive costs that could otherwise be moderated by alerting the local health provider to take immediate actions.

Tags: Benefits Managers, Healthcare, Healthcare Costs, health plan, self-insured, medication, data, patient, pharmacy, primary care physician, employee, chronic care, reduce cost, ER Utilization, wellness program, population, claims data, plan members, predict healthcare, local health provider

Displaying: 1 - 10 of 15