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Telehealth Use & Value

Part 2 Though the perception of telehealth value may not align perfectly between providers and consumers (as discussed in Part 1) – the common goal of reduced healthcare costs is expected. Plan sponsors who provide telehealth benefits should ensure their telehealth infrastructure…

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  1. Assessment of 2019 Medical Cost Trends

    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…

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  2. 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…

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  3. Influence on Lifestyle Change Does Have an Impact on Outcomes

    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…

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  4. Ongoing Education on Alternate Sites of Care Can Reduce Inappropriate ER Utilization

    Morgan’s persistent ear pain wasn’t overly severe, but she was concerned that it wouldn’t go away. She finally reached wit’s end late one Thursday evening and decided to head to the Emergency Room. Even though she faced an hour wait when she…

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  5. 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…

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  6. 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 Dr. Griffin Rodgers, Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) has published a short…

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  7. 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…

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  8. 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…

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  9. Feature Engineering in Healthcare Analytics

    Jason Rudy, Data Scientist / Programmer and Matt Lewis, Programmer / Product Manager In a previous blog post, we walked through the process of building a predictive model using healthcare data. One of the things we touched on briefly there, was how important…

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CASE STUDY

Advanced Quality & Precision

North Kansas City Hospital is an integrated healthcare system, with 451 licensed hospital-beds and 100 physicians in 24 Meritas Health medical practice locations. While maintaining stable benefits, the integrated health system's collaborative health plan strategy has contributed to a cumulative savings of over $54 million in the past 8 years. Read More

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