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Where’s the Value in Healthcare Analytics?

In the ongoing effort to reign-in healthcare costs, two of the hottest areas garnering attention are health risk scoring and predictive analytics – both of which, when properly utilized, are extremely effective in identifying existing and emerging risks and targeting appropriate interventions. Generally, there are two types of health risk scoring used today: Clinical and financial. The first attempts to...
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On A Path Toward Single-Payer

In a discussion this week of potential “red flags” to an investment in UnitedHealth Group (parent company of UnitedHealthcare), The Motley Fool, a financial investment advisory firm, warned, “Health care reform continues a path toward a single-payer model that leaves insurance firms at a competitive disadvantage.”  That’s an understatement. When the Patient Protection and Affordable Care Act (PPACA) was first...
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How to Expand the Care Continuum for Reduced Costs and Improved Outcomes

You’re sitting at home (or in your office) and you’re just not feeling well.  What do you do? The traditional options are:  Wait and see, take your temperature, make note of any other symptoms you have and jump on the internet to diagnosis yourself.  If you’re more than a little sick, you might schedule an appointment with your physician (hoping...
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Defined Contribution Healthplans

Interest in a defined contribution (DC) approach to employee benefits, especially health insurance, is growing.  Obviously, this is a strategy that forward-thinking employers will want to consider as these programs mature and outcomes data becomes available in the years to come. To help us understand what a DC approach might mean to health insurance, we can look to what occurred...
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“Get Your Own Health Insurance Then! I’m Done!”

Employers are just plain worn-out by the annual renewal process.  And you might be surprised to know that health insurance carriers are too. Unless an employer gets a dream renewal, it takes a significant investment of time, effort and emotional energy to renew a healthplan.  And the carriers have to invest similarly in negotiations, rating alternative plan designs, assessing competitive...
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