health plans

How to Get the Package You Need -Without Breaking the Bank

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.

How to Get the Package You Need -Without Breaking the Bank

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.

Providing employer group customers an easy-to-use analytical platform is one of the key ways health plans can demonstrate value and improve retention. Read to find out more about how Employer Reporting can help health plans and their customers.

Carolinas HealthCare System was growing, and as claim volumes mounted, claim error rates doubled. Find out how they recovered $8 million, brought claim edit backlog to zero, and reduced claim edits by 97 percent.

Adventist Health System was troubled by inconsistent billing practices and disparate systems across seven central billing offices. Find out how they reduced time-to-payment by 17 percent -- bringing days in accounts receivable to an all-time low -- by standardizing processes and improving workflow with RealMed (now known as Availity Revenue Cycle Management).

Asheville Anesthesia Associates faced a growing accounts receivable file and a payment collection process that was too slow. Learn how they used RealMed (now known as Availity Revenue Cycle Management) to reduce time-to-payment by 75 percent, and reduce their average days in A/R by 62.5 percent.

American Health Network faced one of the most vexing problems in health care: Claim denials. Learn how this physician-owned practice realized an ROI of 200 percent and recovered $1.4 million.

Learn how to educate your team about HDHPs and protect your bottom line from high health care costs.

Learn how to find an administrative services partner that helps you get back to what you love about your business.

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.

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.

Each year, when employees start using their new health plans for the first time, confusion abounds.

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.

Join RelayHealth for a recorded Healthcare Finance News webinar, Accelerating Service-to-Payment Velocity. With all of the changes happening in healthcare today, some things do remain the same. Your two primary sources of cash are still patients and third-party payers. While patient financial responsibility is rapidly increasing, a large percentage of revenue still flows in via governmental payers and commercial health plans.

Health plans and insurers know that to thrive over the next 3-5 years, they must dramatically improve their ability to engage with individual consumers. The combination of Teradata products; an integrated data warehouse, Aster big data analytics and Aprimo integrated communication management, creates actionable analytic capabilities unparalleled in its ability to help companies achieve these goals. this white paper details how health plans and insurers can use Teradata to succeed in today’s healthcare environment.

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.

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.

Share this handout to help your employees get the most value out of their health plans.

When employees don’t understand their high deductible health plans (HDHPs), they’re less likely to use them. Educate your team with this.

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.

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.