Uncategorized Archives - Page 7 of 25 - BHM Healthcare Solutions

Health Insurance Plan Ratings for 2017: NCQA Releases Top 10 List

2023-08-13T16:42:52-04:00By Eric Duchinsky|Health Insurance, Uncategorized|

NCQA’s Health Insurance Plan Ratings 2017–2018 compare the quality and services of more than 1,000 health plans in the United States and provide consumers with a practical and meaningful guide to understanding their health care options and choosing the best health plans for themselves and their families. National Committee for Quality Assurance (NCQA) is releasing its 2017 Health Insurance Plan Ratings. These ratings provide consumers with a more accurate picture of how health insurance plans perform in the key quality areas of consumer satisfaction, prevention and treatment.

Protected: Zoho Entry Form

2019-10-18T13:46:31-04:00By Eric Duchinsky|Uncategorized|

Measuring Telehealth: Laying A Consistent Foundation For Growth

2017-09-13T15:28:00-04:00By Eric Duchinsky|Telehealth and Telemedicine, Uncategorized|

Telehealth services, which unite technology with healthcare, health information, and health education, have grown substantially over the past 15 years and are expected to increase due to new reimbursement strategies for Medicare providers who offer telehealth services as part of the Medicare Access and CHIP Reauthorization Act (MACRA). With technology racing out in front of reimbursement policies, any cost savings, quality improvement, or increased access to care waited until now. Measuring telehealth may be the key unlocking a flood of benefits for payers.

Drug-Related Risks and Outcomes: 1st Annual National Report

2017-09-05T18:03:16-04:00By Eric Duchinsky|Big Data, Managed Care, Population Health, Trends, Uncategorized|

The purpose of this first annual surveillance report is to summarize the latest information available on the national level for various drug-related risks and health outcomes, health behaviors, and prescribing patterns related to the drug problem in the United States. The most recent year of information available is different for different outcomes. The emphasis is on national information, but some state information is also presented. This document is intended to serve as a resource for payers, providers, and pharma companies charged with addressing this ongoing national problem. It will be updated annually.

Telehealth Payer Laws: Impact and Issues

2017-08-29T20:42:31-04:00By Eric Duchinsky|Telehealth and Telemedicine, Uncategorized|

Payers interested in the market potential of under-served rural populations long for consistent options for offering affordable policies without provider network limitations. The language policymakers use in telehealth legislation may deter provider networks from offering remote services and tying the hands of payers looking to broad service options, according to a the Center for Connected Health Policy (CCHP). The CCHP, with funding from the Milbank Memorial Fund, release a report covering the current state of telehealth payer laws.

Social Determinants: Payer Cases Improving Member Health

2017-08-23T17:31:18-04:00By Eric Duchinsky|Managed Care, Population Health, Trends, Uncategorized, Utilization Management|

Currently, payer strategies focus on finding healthy populations, segmenting the markets, and segmenting populations, with the target of avoiding costly procedures. Population management and all the big data trends became useful tools in those payer strategies. With the results from a study by the Robert Wood Johnson Foundation and a position paper by America's Health Insurance Plans (AHIP), social determinants quickly rose as the next measurable data used by payers.

Offer Health Insurance: Big Employers Vow to Continue

2017-08-29T17:39:48-04:00By Eric Duchinsky|Uncategorized, Workers Compensation|

The shrinking unemployment rate has been a healthy turn for people with job-based benefits. Eager to attract help in a tight labor market and unsure of Obamacare’s future, large employers are newly committed to offer health insurance and maintain coverage for workers and often their families, according to new research and interviews with analysts.

Prescription Drug Monitoring Programs: Lessons From 9 States

2017-08-11T00:23:17-04:00By Eric Duchinsky|Physician Advisor/Peer Review, Trends, Uncategorized, Utilization Management|

The CDC released a report Integrating & Expanding Prescription Drug Monitoring Program Data: Lessons from Nine States detailing a promising strategy for addressing the prescription opioid overdose epidemic. The study focused on improving the use of prescription drug monitoring programs (PDMPs)...

Autism Care Costs: Healthcare’s Perfect Storm

2017-08-01T20:13:16-04:00By Eric Duchinsky|Behavioral Health Integration, Financial Analysis, Health Care Reform, Health Insurance, Uncategorized|

Autism care costs balance in the middle of many competing issues and agendas leaving payers, providers, and consumers trying to sort out the facts from fictions. The size of the funding pie “…over the next 10 years [is] about a half a million youth with autism spectrum disorder (ASD) will enter adulthood. The majority of the costs in the U.S. health care systems for ASD are directed at the adult population: $175 to $196 billion for adults compared to $61 to $66 billion for children.” writes Monica Oss, CEO, Open Minds.

Health Plans Create Best Practices: New Opioid Crisis Report

2017-07-25T16:06:19-04:00By Eric Duchinsky|Uncategorized|

Health plans create best practices and lead with concrete strategies for preventing opioid overuse. The Association for Community Affiliated Plans (ACAP) recently issued a report detailing the innovations and best practices of its member Health Plans in their efforts to combat opioid misuse and overuse. The opioid epidemic led to an estimated 33,000 deaths and more than 300,000 emergency room visits in 2015, and recognized as a subject of intense debate on Capitol Hill and in statehouses around the country.

Services

BHM Solutions

Payers

Providers

Services

BHM Solutions

Payers

Providers

Services

BHM Solutions

Payers

Providers

Services

BHM Solutions

Payers

Providers

Uncategorized