Did You Get the MeMO?

Did You Get the MeMO?
The new paradigm for employers in healthcare cost management includes a refusal to abdicate responsibility to insurance companies and other vendors (think disease management, case management, wellness, health promotion, etc.). Employers need an independent assessment of health risks within their insured population and a partnership with a firm that will ensure that all healthplan members are getting the support they...
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Medical Management: A Question of Resource Allocation

Medical Management:  A Question of Resource Allocation
How do health insurance carriers allocate their medical management resources?  And do they always have their clients’ best interests at heart? We tend to think of the benevolent aspects of medical management – caring nurses helping patients in distress find the best healthcare providers, effective treatments, answering their questions and relieving their fears.  But we would be naive if we...
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The Business Case for Health

The Business Case for Health
Health insurance rate increases aren’t the problem. They’re a symptom. Similarly, absenteeism, presenteeism and lost productivity are symptoms of the same underlying cause. The cause driving all of these expenses is, of course, illness – or, more broadly, deteriorating health within our nation’s workforce and the families enrolled in health insurance plans.
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Keep Your Health Insurance Affordable with Health Risk Identification

If you’re involved in your company’s health insurance plan, you simply can’t rely solely on your Carrier, Third-party Administrator (TPA) or Medical Management vendor to identify and support at-risk plan members. The fact is, most carriers, TPAs and even medical management firms often lack the initiative to engage in deep health risk management.  And it may not be for lack of interest – many of the...
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