The traditional payer business model is fast becoming obsolete. Blues organizations that cling to the status quo or business as usual risk jeopardizing their reputations and business, because people are more than patients.
Increasingly, employers are driving the growing demand for more solutions to engage customers. In response, healthcare incumbents and new entrants are building solutions to address rising costs and meet consumers’ demands for personalization, price transparency, access, and seamless, simple experiences.
Proactive engagement can help your members lead healthier lives while improving outcomes for payers and other players. With 5% of Americans consuming 50% of healthcare costs, identifying and engaging high-risk, high-cost customer segments is essential to sustainability.
As a broker, your customers look to you to provide guidance, education and cost savings in a world filled with ever-changing regulations and skyrocketing costs. See where Houston businesses find the most value in their brokers and what new options exist to help contain costs.
• Learn where Houston businesses see brokers adding value
• See the impact carrier satisfaction has on changing carriers
• Read about new cost-containing options to help your clients
Houston businesses are as unique as Houston itself. But not every business looks at healthcare the same. See what other Houston businesses are choosing to offer their employees, how satisfied they are with their choices, and what other cost-reducing options are available.
• Learn what % of employees live in Houston, and how that impacts health care costs
• See how happy businesses are with current carriers and what that means at renewal time
• Find out what alternative options smart businesses are looking at
Health care costs are already out of control. You’ve tried everything you can think of to reduce costs, but nothing seems to work. Learn where the real problem lies and what you can do about it by rethinking your approach.
• Learn why the usual tactics do little to contain costs
• See how carrier choice and location impact cost
• Get educated on new approaches that contain costs
Insurers have long been plagued by fraud, error, waste, and abuse in health care payments. The costs are huge – amounting to as much as 25 percent of payments made. Today’s data management and
analytics platforms promise breakthroughs by incorporating comparative and behavioral data to predict as well as detect loss in all its forms. To explore the opportunities and how insurers can capitalize on them, IIA spoke with Ben Wright, Sr. Solutions Architect in SAS’s Security Intelligence Global Practice.
"Discover the technological solutions to deliver better patient outcomes From patient satisfaction to mobility to security, technology’s role in healthcare is changing rapidly as costs go up and demands of an aging population skyrocket. Explore this infographic to learn the six major trends in smart healthcare you need to know now >"
While the Affordable Care Act (ACA) increased the number of Americans with access to health insurance, U.S. employers and employees continue to struggle with rising health care costs and changing workforce demands. Recent Aon research shows that 20% of health care consumers cite high health care costs as the major reason they have either declined health care coverage, stopped taking medications, or avoided care altogether. If the U.S. health care system is to succeed, stakeholders across the health ecosystem must influence change in each market—employer, individual, and government (Medicare, Medicaid, and Tricare).
While each part of the three-legged stool is important, this paper focuses on five strategies Aon believes will strengthen the employer-based system—a system that provides health care coverage to well over half of Americans (61%, or 177 million).
The pressure is mounting and employers are feeling the pinch. As U.S. health care costs continue their seemingly inexorable rise, businesses are looking for ways to wrest greater value from their health care spend.
More and more, employers are looking for benefits strategies that help prevent chronic disease and, if it is present, encourage early, efficient treatment. The brass ring is getting employees to proactively manage their own health by adopting healthy behaviors, such as exercising and eating healthily. It’s better for the employees, it increases productivity, and it reduces health care expenditures.
So how are organizations today looking to craft health and well-being plans that deliver real results for employers and employees alike? This white paper looks at three key areas where new and innovative approaches are changing the equation.
This paper, the second in a series addressing four key challenges of healthcare reform, focuses on actions you can take now to streamline core administrative processes to drive efficiency and reduce costs.
The evolving healthcare landscape has created a wealth of fresh opportunities for payers. There is a sense of urgency for payers in leadership roles to leverage technology and successfully transition to a value-driven healthcare system that rewards top performers and high quality standards. Passage of the Patient Protection and Affordable Care Act (PPACA) quickly changed many aspects of payers' business with higher costs, new oversight, more competition and a longer-term promise of millions of new members. Since healthcare insurance reform became law, opponents have vowed changes, if not its outright repeal. While it may be tempting to take as little action as possible and hope that the 2010 mid-term election or 2012 general election will make this all go away, the reality is that repeal is not a likely possibility.
Keas surveyed more than 100 Human Resource Executives across the United States via an online survey between July 31 and August 16, 2013. This survey tracked HR executive opinions on HR topics and plans and priorities for the 2014 calendar year. The survey revealed health and wellness programs are taking center stage in employee engagement and retention. With healthcare costs and obesity-related diseases on the rise and wellness incentives baked into the Affordable Care Act (ACA), this will be the first year health will play a major role in health benefits as organizations integrate preventative care programs to manage costs.
The start of the Affordable Care Act has been delayed to January 2015 and now is the time to get educated on provisions for Corporate Wellness Programs which are critical to combatting rising healthcare costs.
It’s clear: the healthcare industry is in need of change. And today, the system is undergoing a critical transformation as it shifts from a volume-based to a value-based delivery model. Gone are the days of simply treating illness. Now, the focus is on managing the episode of care, containing the costs of delivery, optimizing services and improving patient outcomes.
Published By: Cognizant
Published Date: Oct 23, 2018
Value-based care is the predominant model for enabling the healthcare industry to control costs and deliver better information to consumers. The basic idea is that reimbursements are based on the quality of the outcome of a procedure, episode of care, use of a device or therapy. Under this model, life sciences companies are rewarded for improving health outcomes and/or reducing the costs to achieve those outcomes. It requires life sciences companies to rethink many of their processes, from R&D through the commercial phase. Navigating those momentous shifts requires that life sciences companies embrace a range of digital technologies which will enable a holistic approach to value-based care. This white paper will examine the drive for value-based care, its impact on life sciences companies and how technology platforms can address the challenges the industry is facing.
TMG Health, the largest business process outsourcing (BPO) provider in the Medicare and Medicaid market, relied on a slow, batch-oriented legacy application environment that prevented it from providing continuous data visibility and access to its clients. With help from Red Hat Consulting, TMG deployed a new application platform using Red Hat JBoss Enterprise Application Platform and other Red Hat solutions. As a result, TMG reduced development time and costs and delivered real-time data access and visibility to its clients.
Tired of year after year of healthcare cost increases, Steel Dynamics decided to fight back. They partnered with Castlight Health, a cloud-based provider of healthcare management services. Castlight Health’s health benefits platform armed employees with buying information — when and how they needed it. As a result, Steel Dynamics cut healthcare spending by approximately $500,000 in their first year with Castlight Health.
Health care providers cope with an avalanche of complex rules, regulations, and administrative processes just to run their practices. At the same time, costs are increasing and reimbursement rates are declining. The only way for a practice to achieve financial health in this demanding environment is to learn how to operate at peak performance level.
Payment reform has long been discussed in health care, as escalating costs have spurred calls for changes to the dominant fee-for-service model. Learn the capabilities that you can develop to not only help position your practice to respond to any of the payment reform models likely to occur in the future, but also make your practice more successful now.
Healthcare mergers and acquisitions and medical group growth have been strong industry trends for years. One reason is the desire for critical mass to gain leverage with payers as reimbursement declines and costs increase. Healthcare mergers and acquisitions may offer benefits for many medical groups; it is not without its challenges. Read this whitepaper to learn how to successfully manage growth of your medical group.
Consumers have increasingly become more educated about their healthcare choices and economically vigilant about the costs.
In a HealthLeaders Media podcast, David Dyke, Vice President of Revenue Cycle Systems for RelayHealth, explains that when healthcare systems capitalize on patients' expectations, balance sheets and improve patient satisfaction scores.
Today's IT managers face tough challenges. There's pressure to reduce IT costs, end user demand for flexible yet secure working, and the constant need to maintain regulatory compliance. Join the IT managers around the world who are solving their biggest challenges with RES Software. Learn how organizations in every sector are giving end users the freedom to work the way they want, in any location and via multiple devices, while drastically reducing demand for hands-on IT professionals.
Published By: Aon Hewitt
Published Date: Jan 20, 2015
Today in the United States, employer-sponsored health benefits are the source of coverage for more than 149 million individuals.1 Fueled by many factors, including rising costs, legislative changes, new provider models, and evolving market forces, the health care industry is undergoing a transformation. And as health care evolves, so must the employer’s role in it. What has not changed, however, is employers’ belief that health benefits are a key differentiator for talent. In fact, most large employers plan to continue offering coverage in spite of the uncertainties in the health care market.2 To keep pace with the changing environment, employers must rethink their role in health coverage: how they sponsor, structure, and deliver health benefits, and how they manage costs while keeping employees healthy, productive, and satisfied.
With the proliferation of health and fitness data due to personal fitness trackers, medical devices and other sensors that collect real-time information, cognitive computing is becoming more and more important. Cognitive computing systems, with the ability to understand, reason and learn while interacting with human-generated data, enable providers to find meaningful patterns in vast seas of information. IBM Watson Health is leveraging the power of cognitive computing to help providers make data-driven decisions to improve and save lives worldwide, while controlling healthcare costs. Read our whitepaper and learn about the new era of cognitive computing and how it can improve health outcomes, optimize care and engage individuals in making healthy choices.
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