News and Events

5 Tips for Medical Directors

2023-08-07T14:25:08-04:00By |News and Events, Physician Advisor/Peer Review, Uncategorized|

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.

The Opioid Epidemic: Health Insurance Companies Join the Fight

2023-08-08T14:51:54-04:00By |Behavioral Health Integration, News and Events, Population Health, Quality Improvement Programs|

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.

Cost vs Quality: The Medicaid Challenge Webinar – Last Chance to Register!

2017-04-02T13:28:07-04:00By |News and Events, Webinars|

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.

CMS Announces Finalized Mental Health & Substance Use Disorder Parity Rule for Medicaid

2017-04-02T13:28:07-04:00By |Behavioral Health Integration, Managed Care, Medicare and Medicaid, News and Events, Webinars|

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."

Lunch & Learn: Join us for Workers Compensation: Keeping Claims on Track – a free webinar!

2023-09-12T10:32:05-04:00By |IRO, News and Events, Quality Improvement Programs, Services, Webinars|

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.

1 Day Left to Register! Free Webinar – Behavioral Health Integration: Realizing Opportunities

2017-04-02T13:28:07-04:00By |Behavioral Health Integration, News and Events, Webinars|

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.

Brand New Free Web Event! Behavioral Health Integration: Realizing Opportunities

2017-04-02T13:28:08-04:00By |Behavioral Health Integration, News and Events, Webinars|

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.

Expert Learning Series: The Affordable Care Act – Impact on Hospitals & Healthcare

2023-10-06T13:00:35-04:00By |Financial, Health Care Reform, Learning Series, News and Events, Webinars|

The Affordable Care Act (ACA) has begun to revolutionize healthcare, but even bigger changes are on the way, and those in the Hospital industry are dealing with everything from an increased emphasis on customer satisfaction to decreased reimbursement and rapidly changing payment models. Find out the critical components you need to know to be successful in the new healthcare environment. Join us 12/19 for the free webinar The Affordable Care Act - Impact on Hospitals & Healthcare.

4 Healthcare Trends Set into Motion by the ACA

2023-10-07T09:16:57-04:00By |Accountable Care Organizations, Accreditation, Big Data, Health Care Reform, Health Insurance, News and Events, Webinars|

Let's talk healthcare trends set into motion by the ACA. The Affordable Act was signed into law March 23, 2010 making 2015 the law’s 5 year anniversary. Can you believe it? Five years later the ACA has sparked change in the healthcare ecosystem and is continuing to churn the wheel of change. But what changes should healthcare organizations expect for the future? PwC Health published a report on post-ACA trends in honor of the law’s 5th anniversary. The report outlines 5 major healthcare trends, Risk Shift, Primary Care, New Entrants, Health Insurance, and States, that it believes the ACA set into motion. We will cover 4 of those trends today!

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