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Published By: Truven Health Analytics     Published Date: Feb 01, 2015
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.
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Truven Health Analytics
Published By: Truven Health Analytics     Published Date: Oct 01, 2014
The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as 39% by 2020. The implications are significant because the excess-benefits tax requires the employer to pay 40% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.
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Truven Health Analytics
Published By: S&P Dow Jones Industrial     Published Date: Jul 30, 2014
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.
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S&P Dow Jones Industrial
Published By: McKesson     Published Date: Oct 03, 2014
To achieve population health success, providers must identify high-risk patient populations, apply evidence-based care plans and interventions, and engage patients in their own care. Learn how.
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McKesson
Published By: McKesson - Population Health & Risk Management     Published Date: Oct 03, 2014
To achieve population health success, providers must identify high-risk patient populations, apply evidence-based care plans and interventions, and engage patients in their own care. Learn how.
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McKesson - Population Health & Risk Management
Published By: L.E.K. Consulting     Published Date: Feb 06, 2015
Despite retention’s critical importance to a health plan’s success, many health plans treat the issue superficially. Health plans have not drilled down into the complex issues that cause disenrollment, nor have they implemented comprehensive strategies to improve retention. In this Executive Insights, L.E.K. Consulting focuses on implementation, identifying the most effective initiatives for increasing retention, and laying out how these initiatives should be coordinated and prioritized.
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L.E.K. Consulting
Published By: TriNet     Published Date: Jun 13, 2011
How to Get the Package You Need -Without Breaking the Bank
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trinet, benefits, human resources, costs, health plans, smb, insurance, doctors
    
TriNet
Published By: TriNet     Published Date: Jun 13, 2011
How to Get the Package You Need -Without Breaking the Bank
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trinet, benefits, human resources, costs, health plans, smb, insurance, doctors
    
TriNet
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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lumeris, health plan delivery, health plan operations, population health services, value based health plan operations, health plan outsourcing, operating a health plan, information technology
    
Lumeris
Published By: MedeAnalytics     Published Date: Mar 09, 2012
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.
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healthcare, employer retention, reporting, analytics, collaborative analytics, hospitals
    
MedeAnalytics
Published By: Availity     Published Date: Aug 08, 2013
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.
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accounts receivable, revenue cycle, revenue cycle management, billing practices, claim denial, electronic claim submission, cbo, blue cross and blue shield
    
Availity
Published By: Availity     Published Date: Aug 08, 2013
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).
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accounts receivable, revenue cycle, revenue cycle management, billing practices, claim denial, electronic claim submission, cbo, blue cross and blue shield
    
Availity
Published By: Availity     Published Date: Aug 08, 2013
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.
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accounts receivable, revenue cycle, revenue cycle management, billing practices, claim denial, electronic claim submission, cbo, blue cross and blue shield
    
Availity
Published By: Availity     Published Date: Aug 08, 2013
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.
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accounts receivable, revenue cycle, revenue cycle management, billing practices, claim denial, electronic claim submission, cbo, blue cross and blue shield
    
Availity
Published By: Castlight Health     Published Date: Apr 13, 2016
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.
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castlight health, employee, health benefits, hdhp, healthcare
    
Castlight Health
Published By: Castlight Health     Published Date: Apr 13, 2016
Each year, when employees start using their new health plans for the first time, confusion abounds.
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castlight health, healthcare, health plan, employee noise
    
Castlight Health
Published By: Akamai Technologies     Published Date: Mar 15, 2016
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.
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web security, healthcare, network management, security, cyberattack prevention, best practices
    
Akamai Technologies
Published By: RelayHealth     Published Date: May 31, 2013
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.
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accelerate payment, payment resolution, service-to-payment velocity, claims data, continuing education credit, financial / revenue cycle management, claims processing, electronic health records
    
RelayHealth
Published By: Teradata     Published Date: Jun 12, 2013
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.
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healthcare, data, insights, health plans, integrated data, information technology, meaningful use, business intelligence
    
Teradata
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.
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infoblox, geisinger, dns, dhcp, centralized administration, healthcare
    
Infoblox
Published By: Castlight Health     Published Date: May 02, 2014
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
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castlight health, driving employee engagement, health plans, healthcare decisions, company healthcare coverage, incentives, internal leadership
    
Castlight Health
Published By: Fujitsu     Published Date: Sep 02, 2016
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.
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fujitsu, mobile device, healthcare device, mobile computing, tablets, smartphones, mobile workers, mobile / wireless
    
Fujitsu
Published By: DataMotion     Published Date: Oct 01, 2008
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.
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certifiedmail technology, act's privacy rule, health insurance portability, accountability act
    
DataMotion
Published By: IBM     Published Date: Nov 29, 2012
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.
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improving efficiency, healthcare, healthcare industry, quality care, acm, advanced case management, healthcare data
    
IBM
Published By: IBM     Published Date: Nov 12, 2015
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.
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ibm, big data, enterprise analytics, emr, research interfaces
    
IBM
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