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Tag Archives: High Cost Claimants

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  1. APH Counterpoints to Recent Workplace Wellness Study Findings

      Not all Wellness Programs are Created Equal As our leadership team read the recent uChicago News article titled “Workplace wellness programs fail to improve health, study finds,” we felt compelled to share our counterpoints based on decades of experience supporting wellness…

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  2. Targeting Doctor Shopping, Prescription Abuse With Analytics: Population Health Lessons from the Front Lines

    Healthcare data analysis has had a profound impact on how health insurers, brokers and self-insured employers approach benefits design and population health management (PHM). It has ushered in a new era wherein dynamic data insight drives decision-making, lowers risk and cuts costs…

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  3. Three of the Costliest Health Conditions Ravaging Your Health Plan, and Steps for Prevention

    Within the population health community, it is well known that a small percentage of health plan members with chronic conditions are typically responsible for the lion’s share of plan costs. This portion of the employee population is often referred to as the…

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  4. Combating Opioid Addiction with Analytics and Case Management

    High cost claimants are most responsible for rising health plan costs, but high cost claimants who are addicted to opioids might cripple a health plan altogether Prevention. Prevention. Prevention. When it comes to implementing a health plan case management or wellness program, prevention…

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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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