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.

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.

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

This white paper reveals data-driven insights to help you create a strategic communications plan that includes: creative, cost-effective incentives promoted through repeated communications, a robust, multi-media digital promotion strategy paired with on-the-ground advocates at all levels, internal leadership participation to encourage adoption

Download this white paper today to better understand how devices are going to be used in the health care environments and how you can adjust your product plans accordingly.

With HIPAA audits now randomized, you must be prepared for them every day. And with state regulations requiring compliance-breach reporting, you must become your own auditor. HIPAA is the Health Insurance Portability and Accountability Act, the 1996 federal regulation that mandated health-data privacy.This regulation requires compliance by all insurers and health care providers, including physician’s offices, hospitals, health plans, employers, public health authorities, life insurers, clearinghouses, billing agencies, information systems vendors, service organizations, and universities.But that’s not all.

Healthcare providers and healthcare plans enterprises are facing significant and challenges to improve quality of care and patient satisfaction while controlling rising costs. Read on about making a case for improved efficiency in healthcare.

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.