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7 Considerations Self-Funded Groups Should Address Post COVID19

With every crisis there comes opportunity, and the current pandemic our world is enduring is no different. The Corona crisis has provided every steward of health with a growing list of opportune lessons from which to learn. In particular, self-funded groups have…

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  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. An APH Primer on Artificial intelligence and Machine Learning

    Jason Rudy, Data Scientist / Programmer and Matt Lewis, Programmer / Product Manager Artificial intelligence (AI) and machine learning is something most Americans have heard a lot about in recent years, and for good reason – advances in technology have made AI-powered…

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  8. Taking the final mile with Population Health data findings – Nurse Navigation is one avenue

    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. How do they “take the…

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  9. The Stars Impact of the CY2019 CMS Final Call Letter

    Guest blog contributor: Rex Wallace – Principal, Rex Wallace Consulting, LLC   On April 2nd, the Centers for Medicare and Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and…

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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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