Since our clients are facing risks and high costs associated with liver injury and chronic kidney disease, we wanted to compile some information pertaining to the impact of over-the-counter (OTC) medications and herbal and dietary supplements (HDS) in these areas. We believe this information will help drive a more proactive approach that better educates and protects employees, members and patients from these often devastating and potentially costly conditions. Particularly when these OTC medications or supplements are mixed with prescriptive drugs, contraindicated in certain health conditions, known to adversely injure certain organs when taken in quantity over time, or combined with foods or drinks that potentiate their effect.
Colorectal Cancer is a combination of rectal and colon cancer considered to be unpreventable and expected to account for 50,630 deaths in 2018. According to Cancer.net, Colorectal Cancer is the third most common cancer diagnosis among both women and men. The good news is that while Colorectal Cancer may be unpreventable, most of its associated risk factors are controllable and successful treatment is not uncommon – particularly in cases where proactive screenings lead to early intervention.
Chris Galanos, Director of Medical Services, Advanced Plan for Health
Our customers and partners rely on us to keep our finger on the pulse of what’s coming in the marketplace, and what we’re seeing trend within the member population in our Poindexter advanced and predictive analytics platform.
I recently performed a market scan and Poindexter information synthesis in support of providing a read-out on 2019 Medical Cost trend predictions, and felt it would be helpful to share a summary via the APH blog.
Once populations are targeted for support and intervention via our Poindexter advanced and predictive analytics (via current state and predicted risk factors), we’ve found that one of the most effective ways to support targeted employees and members is through live or telephonic nurse influence and intervention.
Nurses are able to deliver individuals the education and support they need to make important lifestyle and preventative care changes. This is one of the most effective programs that we’ve seen in delivering needed outcomes.
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.
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.
WESTLAKE, Texas and CINCINNATI, Ohio, July 18, 2018– Advanced Plan for Health (APH), a provider of advanced and predictive data analytics technology today announced that S&S HealthCare Strategies, Ltd., a well-respected and innovative Third-Party Claims Administrator has added APH’s Poindexter analytics to their solution portfolio.
More and more frequently, our current and prospective employer group clients will ask us what we see as the most effective avenues to support employees and members who have been identified through analytics for outreach and support.
There are many avenues that our clients are taking to get individuals the education and support they need. Nurse Navigation is one of the most effective programs that we’re partnering with our clients to launch and manage. We thought this would be a good topic to cover during National Nurses Week.
Members who are in chronic kidney disease at Stage 3 or 4 need to be approached about their plan of treatment. At this point the member may be in denial or unable to determine if they would like to be listed for a transplant, but it is not too early to start the process. The member needs to know about the importance of an early transplant listing decision, because it takes eligible individuals 24 months or longer on the transplant list to get a kidney. They can always change their minds and remove themselves from a transplant list, or list with more than one Center of Excellence to improve their chances for receiving a kidney.
This is a multi-part blog series. Part three will cover – The Cost of Dialysis and TPA and Medical Management Practices