Under risk adjustment, health plans with a lower average risk score make payments into the system or miss out on revenue opportunities, while plans with relatively high average risk scores receive payments. So it’s critical for a plan to get this analysis right – or forfeit revenue it deserves.
With advanced analytics and machine learning, health care organizations can be more timely and confident in their risk adjustment programs, more effectively managing the cost of care and building a stable annual financial portfolio.
Amid the rising costs of healthcare, employers and health plans are under increasing pressure to produce fast insights from their data to help drive business decisions, identify opportunities to reduce cost, improve care quality and generate reports for diverse stakeholders. But these professionals often lack the time, resources and analytic expertise necessary to integrate and interpret the massive amounts of disparate data available to them.
In our always-on, always-connected world, healthcare consumers expect instant access to customer service, not just from 9 AM to 5 PM. It’s often no longer good enough for health plans to staff call centers during standard business hours. Members today typically want to be able to log in and help themselves to the answers they need from self-service channels whenever they want — and they want the experience to be highly personal.
One contact center benchmark study (see next page) revealed self-service channels can be a win-win for both businesses and consumers.1 When done well, self-service solutions can help businesses improve customer satisfaction while reducing costs. And consumers appreciate the convenience of getting answers quickly and efficiently.
As a small business owner, you’ve got big things to consider. But what’s most important? Health plans. Tag along with small business expert Steve Strauss for lively conversations with business owners like yourself — and learn how being informed about health plans can help you keep costs low, employees happier — and give you the edge on competition.
Join small business expert Steve Strauss and learn how being informed about health plans may keep your costs low, your employees happier and give you the edge on competition. Listen to Episode 1: Selecting the Right Plan, to hear real small business stories and strategies about choosing the right plan for your business.
Telemedicine has the potential to deliver significant savings to both employees and businesses — when people actually use it. This toolkit includes posters, videos, mirror clings, and more to introduce your team to the service and encourage them to take advantage of it.
When it comes to protecting yourself against breast cancer, knowledge is power. This toolkit covers everything from warning signs and the importance of early detection to what you can expect during a mammogram.
Published By: ForUsAll
Published Date: Jun 18, 2018
The 401(k) market has rapidly changed.Is your plan up to date?
Since 2012, there have been significant changes in 401(k)s which have created new risks and opportunities for small and midsized business 401(k) plans. With this rapid pace of change, many business owners, and even some small advisors and recordkeepers have not been able to keep up. We’ll summarize both changes to the 401(k) industry and the opportunities that exist for you to improve your plan, specifically in the following 5 areas:
1. Staying compliant with increasingly complicated regulations – New government regulations have increased burdens on companies offering both health plans and 401(k)s. What used to be compliant may no longer work. Furthermore, software has improved, allowing many error prone, manual retirement plan administration tasks to be automated.
2. Increasing plan effectiveness by lowering fees – Since 2009, average 401(k) plan costs have dropped by almost 30%*. While average costs have come down, not al
Published By: Mimecast
Published Date: Feb 07, 2018
Is your healthcare organization part of the 90% that conducts annual cybersecurity assessments?* Do you wonder where your IT peers are headed with their cybersecurity plans and how they prioritize their initiatives? Recent HIMSS survey results reveal these insights and more, plus the 5 steps to improve your email security’s prognosis.
This E-book contains startling facts and important cybersecurity insights every healthcare IT security leader needs to know.
*HIMSS Analytics survey conducted on behalf of Mimecast, December 2017
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.
With all the complexities of the U.S. health care system, people consuming health care services continue to find it challenging to navigate. That’s why, for the fifth year, Aon Hewitt is pleased to partner with the National Business Group on Health (The Business Group) and The Futures Company to conduct the Consumer Health Mindset Study. The study explores the health attitudes, motivators, and preferences of consumers across the U.S.— particularly employees and their dependents as they interact with their employer-sponsored health plans, wellness programs, and the broader health landscape.
Along with our findings about the consumer health mindset, we recommend practical actions you can take to meet consumers where they are and guide them in navigating health care more effectively.
It’s all about minimizing surprises. This handy resource provides a high-level, high deductible health plan crash course, some basic tips for getting started, and a worksheet to help you be sure you’re using your plan in the best way possible.
In this report, you will discover:
- Why spreadsheets are working against you and de-motivating your team
- A spreadsheet “health diagnosis” checklist
- How incentive plans can drive behavior with better accuracy and objectivity
With the growing adoption of high-deductible health plans (HDHPs) and increased employee cost sharing, unlocking the value of your benefits for your employees and your business critically depends, now more than ever, on engaging your employees to make smart healthcare decisions. The good news is that innovative benefits technologies are starting to deliver on a proven recipe for success.
HIMSS Analytics, in partnership with Akamai, recently conducted a survey of U.S. hospitals to understand the current state of web security in healthcare as well as what plans are in place to improve preparedness. The results raise some concerns that despite greater consciousness of the increased risk to healthcare data security, many hospitals are still vulnerable to a wide range of cyberattacks. Read this survey to learn about critical weaknesses in hospital web security.
Hear from the University of Michigan Health System’s CMIO, Dr. Andrew Rosenberg, to learn how this institution is achieving their goal for internal/external operability in support of their enterprise analytics roadmap to support its clinical, research, education and administrative missions. Learn more about the specific challenge's that were solved, how they integrated systems of record with medical devices, and hear about their plans for future integration.
Published By: Infoblox
Published Date: Jun 18, 2015
Download this Case Study to learn how Geisinger Health System worked with Infoblox to keep up with emerging DNS and DHCP requirements and gain flexibility and centralized administration for future plans.
Published By: Lumeris
Published Date: Aug 04, 2014
For health plans, health systems and delegated payer operations, or health systems wanting to become their own payer, Lumeris’ turnkey outsourcing offers expert support to design, build, operate, measure, and optimize value-based health plan operations that can drive clinical and financial excellence. This can be evidenced by our ability to help clients achieve higher revenue, lower costs, higher market share, and meeting mandates for medical cost ratio contained in the Patient Protection and Affordable Care Act.
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