Healthcare reform regulations, increasing costs, and more competition are driving employers and their health plans to focus more than ever on opportunities to reduce cost trends. For example, the country experienced a 3.0% growth in per capita gross (allowed) medical and pharmacy costs from 2012 to 2013. Truven Health Analytics anticipates those costs in 2014 and 2015 will increase by 4% to 5% or more. By taking a data-driven approach, payers can manage costs and, ultimately, make their benefit programs sustainable in the context of healthcare reform. They can also maximize opportunities to improve population health and productivity and optimize the delivery of care.
Truven Health Analytics™ evaluated the extent to which community need— a measure of the underlying economic and social factors that affect the overall health of a community, including income, cultural/language barriers, education, insurance and housing—is associated with elevated rates of preventable hospitalizations or an increased risk of hospitalization believed to be preventable with quality ambulatory care. The results of this investigation reveal a modest but statistically significant association between community need and an increased risk of hospitalizations that are believed to be preventable with good-quality ambulatory care.
Healthcare billing and claims handling has become increasingly complex. With the transition to Version 5010 of the HIPAA electronic transaction standards, the expansion of billing codes under ICD-10, and the ever-changing requirements of insurance companies and the Centers for Medicare and Medicaid Services (CMS), it can be nearly impossible for providers to keep up.
In October 2013, S&P Dow Jones Indices (S&P DJI) launched the S&P Healthcare Claims Indices (the indices). This new index series is designed to provide an independent, timely measure of the changes in healthcare expenditures and utilization for individuals enrolled in commercial health insurance plans in the United States.
S&P DJI developed these new indices in conjunction with healthcare professionals at Health Index Advisors (HIA), a joint venture between the premier actuarial and consulting firms Aon Inc. and Milliman Inc. S&P DJI combined its knowledge and experience in developing leading indices with HIA’s experience in the healthcare market to develop the first index series of its kind, based on actual healthcare claims data. These indices seek to increase transparency in the healthcare market and enable the analysis and tracking of changes in healthcare expenditures.
Benefits, especially insurance benefits, are extremely important to employees and one of the main things they take into consideration when they make employment decisions. Many employers that offer insurance generally offer a combination of health, dental, and vision insurance. Sometimes dental and vision insurance are offered separately from health insurance, or they may all be rolled into one plan.
When augmenting the benefits package for your organization, it’s natural to focus on traditional perks that employees have come to
expect: PTO, health insurance, and maybe a tuition assistance credit here or there. But if you’re looking for creative and effective ways to stimulate employee engagement while also driving business results, you’ll want to consider the powerful impact of offering language-learning opportunities.
Where’s the connection? And how can you reproduce these benefits within your organization? This playbook offers a deeper look at why language learning has such a positive influence on employee engagement and business performance, as well as step-by-step instructions for implementing a language-learning program in your organization.
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).
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
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.
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.
Wish you could get more employees to use their benefits? (And use them wisely?) The Ultimate HR Guide to Promoting Benefits Programs, Tools, and Resources can help you get started. This handy eBook from Castlight Health and Jellyvision explains how to 1) avoid sounding like an insurance robot, 2) find incentives that work (and that don’t bust the budget) and 3) promote your benefit programs — everywhere.
Our client is one of UK’s largest provider of health insurance and one of the largest insurers in the world. Their health insurance products range from private medical insurance to income protection covering more than 750,000 lives.
Data—dynamic, in demand and distributed—is challenging to secure. But you need to protect sensitive data, whether it’s stored on premises, off-site, or in big-data, private- or hybrid-cloud environments. Protecting sensitive data can take many forms, but nearly any organization needs to keep its data accessible, protect data from loss or compromise, and comply with a raft of regulations and mandates. These can include the Payment Card Industry Data Security Standard (PCI DSS), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the European Union (EU) General Data Protection Regulation (GDPR). Even in the cloud, where you may have less immediate control, you must still control your sensitive data—and compliance mandates still apply.
Published By: Aon Hewitt
Published Date: Oct 13, 2014
Are you struggling to predict and manage the rising cost of health care at your organization, while still trying to offer your employees and their families quality, affordable health coverage?
Private health exchanges have emerged as a strategy employers are using to help curb this cost trend while offering employees more choice and control over their health care. Download XChanges Today to learn about this changing marketplace and how private exchanges are realigning incentives to benefit everyone in the value chain: employers, insurance carriers, employees, and providers.
Published By: Delphix
Published Date: Jun 27, 2014
Healthcare reform is transforming the US health insurance sector, creating a dynamic and competitive new market with compelling opportunities for growth. Does your IT organization have what it takes to capitalize on these opportunities? Here are 5 ways technology investment delivers the agility you need – and how.
We convened top academic medical center leaders for our AMC Advisory Roundtable in October of 2013. We also conduct regular discussions with a wide array of health care executives, including leaders of health systems, medical groups, insurance companies, and academic institutions. This whitepaper shares some of the key themes that have emerged from those meetings.
Published By: BMC ESM
Published Date: Sep 15, 2009
Many CIOs are looking to implement the power of Cloud computing, but they don't know where to begin. How do you take full advantage of this technology and implement the correct strategy for your environment? What services should you offer via the Cloud? Read the paper, "Cloud Computing In Perspective," by BMC Software Chief Technology Officer Kia Behnia.