The national debate over the Affordable Care Act (ACA) has involved substantial discussion about what effects — if any — insurance coverage has on health and mortality. Health plans play a leadership role in healthcare reforms. While debate continues, a recent piece in the New England Journal of Medicine answers one main question. Does having insurance coverage improve health outcomes?
Whatever the title, Medical Director, CMO, or similar, the responsibilities loom large with little relief in sight. Burnout, recruitment, and retention might be a larger concern than medical necessity criteria, case shaping, and utilization management. The end of the ACA won't likely make things easier. With that in mind, here are 5 time-saving tips for medical directors.
According to the Centers for Disease Control, an estimated $25 billion of U.S. healthcare costs was attributed to the abuse of painkillers—otherwise known as opioids. Up to 36 million people worldwide struggle with opioid addiction. CNN recently revealed that health Insurance companies alone lose a total of $72.5 billion annually due to of opioid addiction. Cigna is the most recent health insurance company to join the fight. By using patient data they are hoping to target overprescribing of prescription painkillers. Monitoring patient data and prescription history Cigna flags high-risk customers and notifies doctors about the patient’s history of opioid use or their high-risk behavior which puts the patient at risk for new prescriptions.
Learn about Medicaid Reform in 2016. Learn what changes will be made and implemented, with a specific examination of state changes, delivery models, payment impacts, and trends. Join us to discover how Medicaid Reform will impact your organization (whether hospital, provider, health plan, ACO, MCO, or payer) in 2016 and what will be critical to determining success in the upcoming year.
The Centers for Medicare and Medicaid Services (CMS) have announced the finalization of a new rule that will help strengthen access to mental health and substance-use services for individuals who receive Medicaid benefits though managed care organizations and those who have Children's Health Insurance Program (CHIP) coverage. According to CMS' press release, this "final rule strengthens access to mental health and substance use disorder benefits for low-income Americans." The new provisions of this rule will benefit the over "23 million people enrolled in Medicaid managed care organizations (MCOs), Medicaid alternative benefit plans (ABPs), and CHIP."
Would you like to learn how Workers' Compensation Organizations and Departments like yours are creating cost savings, improving efficiency, and decreasing claim costs? Join us Wednesday, April 13 at 12:00 PM EDT for a free lunch and learn event titled: Workers Compensation - Keeping Claims on Track. If you can’t make the event, don’t worry! Simply register for the web event to receive a recording of the event as well as a copy of the presentation after it is finished.
This year is going to be an important year for Behavioral Health, don’t miss out on our free webinar 1/20 on Behavioral Health Integration success! Join us Wednesday January 20th at 12: 00 PM CST as we explore the concept of Behavioral Health Integration. This free web event will cover: Making the Case for Behavioral Health (BH) Primary Care (PC) Integration, Integration 101: First Steps to Making it Work (Technology, Screening Tools, Communication), and Integration: Realizing Opportunities. If you can't make the event, don't worry! Simply register for the web event to receive a recording of the event as well as a copy of the presentation after it is finished.
Join BHM Healthcare Solutions on Wed. January 20th at 12:00PM CST for the brand new web event: Behavioral Health Integration: Realizing Opportunities Explore the concept of Behavioral Health Integration with this free web event. This presentation will include an overview of the need for Behavioral Health Integration, and exploration of practice models of integration, and will provide attendees with the tools and knowledge to begin making meaningful movements toward integrating behavioral health into their organization or practice.
If your accreditation has cost your organization more time, money, and internal resources than you had thought and you still feel like you are not prepared for your survey/audit, then this is one informational session you won’t want to miss. Join us Wednesday Dec 30th at 1:00 pm CST for this free web event!