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Tag Archives: Utilization

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  1. Session 8: A Look at PwC Health Research Institute’s 2020 Medical Cost Trend Report

    Medical Cost Trend: Behind the numbers 2020 by PwC Health Research Institute (HRI) Condensed and presented by Advanced Plan for Health The Advanced Plan for Health team regularly scans the health market for trends, analysis and insight. In our research, we found The…

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  2. 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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  3. Unexpected Unreasonable Claims Costs in Intraoperative Neurologic Monitoring (IONM)

    Barbara Rutkowski, EdD, MSN, CCM – Vice President, Clinical Operations, Advanced Plan for Health & Joy McGee-Cory – Senior Vice President, Advanced Plan for Health Several of our Health Plan clients and their members have experienced unexpected and very unpleasant surprises following certain complex…

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  4. Weighing Wellness with Poindexter

    As 2015 advances many find that their New Years’ resolutions, whether they are weight loss goals or learning to play an instrument, remain intact despite the pitfalls that abound. This success is often a result of one’s enduring dedication. However, a strong…

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  5. Data: Your Secret Weapon

    Everyone will claim to have data analytics tools for population health management, but not all are created equal.  What if…You could find everyone with metabolic syndrome, or another chronic condition, that badly needs an  intervention to avoid hospitalization with just a few…

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  6. 6 Costly Healthcare Myths

    The healthcare system can be a confusing place for someone who is well, let alone someone who is sick and in need of help. Oftentimes, health plan members do not know their benefits and can seek care in the wrong place; like…

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  7. How to Impact Clinical and Financial Outcomes: The NCN Initiative

    Improving the health of your employees and health plan, while positively impacting clinical and financial outcomes, is critical to getting the best benefit. This blog explains how to do it.To ensure cost-effective, quality health care, you need to control and manage your health…

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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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