Tag Archives: Disease Management

Saving on Employee Health Benefits: Would you Hire this Consultant?

Over the years as an HMO executive and later founding a disease management and Healthcare IT company, I have analyzed a lot of medical claims and quality data. One of the largest was an analysis of a State Medicaid program with about 675,000 beneficiary lives with two years of inpatient, outpatient and pharmacy claims. The pharmacy file alone contained about 15 million prescription fills.

More recently I became certified as a Professional by the Care Innovations Validation Institute and sit on their Advisory Board. This certification tested my ability to look at data and decide whether the outcomes reported were likely to be valid or not.  As you look for vendors or consultants I would suggest you start with the Validation Institute. The following example is a good reason why.

Cruising around the web looking at various healthcare consulting firms and company websites I came across  a company that is targeting employers and claims they  have vetted and can bring in vendors to lower the costs for a company’s self funded health plan. Their website says they can identify, evaluate, oversee, manage and report on the vendors they propose.

On their home page is a chart used to show the savings an employer can expect to see by implementing their various cost saving approaches.  Can you spot the flaw(s)?

 

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Let’s start with the first and most glaring error and its on the first line. Continue reading

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Is Text Messaging being Overlooked as an Engagement Tool in Healthcare?

 

the-holy-grailImproving the consumer’s engagement in their health has become the holy grail; we’re all searching for it. It seems every week some company is coming out with a new app, system or program claiming they’ve developed an incredible engagement tool that will finally get people involved in their health. Most have stumbled.

Could it be that we are overlooking something because it’s just not cool and there are potential HIPAA concerns? That something is SMS text messaging. Think about it, everyone has a cell phone and text is typically unlimited and has become the new way to communicate.

It also turns out, there are some very good studies to support text messaging to be effective and much more likely to be read and responded to than an app, phone call or email. As for HIPAA, there are ways to use a “text first” approach and stay HIPAA compliant.  ken-saitow

Listen to this episode of PopHealth Week  with Ken Saitow of CareWire as he provides insights into text messaging, HIPAA compliance and use cases. He even touches upon seniors and Medicaid, both of whom respond well to text messaging.

 

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Brought to you by Health Innovation Media

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Validic, an Interview with Chris Edwards, Chief Marketing Officer

As the world continues its push to mobile health and monitoring, Validic has been getting a lot of attention.   Validic provide’s a digital health platform linking a broad array of mobile devices to companies looking to use this data. Their services’ are being used by  hospitals, doctors, insurers, health and wellness companies, pharmaceutical companies and other health care entities.

The revolution going on in healthcare to truly understand the person, how they live, its impact on their health, the creation of a two-way stream of data and impactable information is being fueled by companies like Validic.

Join Chris Edwards, their Chief Marketing Officer as I learn more about Validic, their services and growth brought to you by Health Innovation Media.

 

 

 

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Care Innovations: Karissa Price-Rico Discussing Remote Care Management at HiMSS

Karissa Price-Rico, the Chief Marketing Officer of Care Innovations joined me for an interview at the recent HiMSS 2016 conference in Las Vegas.  Karissa is also the Executive Director of the Intel Care Innovations Validation Institute, of which I am an Advisory Board Member. We had the opportunity to discuss Care Innovations, their work in providing remote care management technology and services, growth of the industry and how remote monitoring can be used in the short medium and long term in both the FFS and Value Based Payment world.

 

 

 

 

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2015 PHA Forum: Where Population Health Policy, Innovation and Education Converge

You’re familiar with the term “population health” through posts, articles and discussions with peers. Now come learn how we all can effectively operate within the framework of population health and strengthen the population health management programs within our respective organizations.  I’m hoping you can join me Nov. 2-4, 2015 in Washington, DC for the Population Health Alliance (PHA) 16th annual Population Health Forum  – where population health policy, innovation and education converge.

Policy

Get the most recent population health policy updates from those directly shaping it. Participate in a lively and enlightening debate between industry veterans Al Lewis and Ron Goetzel. And, while at the nation’s epicenter of policy and politics, hear firsthand from keynote speakers Eleanor Clift and Mark Siegel how the upcoming Presidential campaign and soon-to-be-changing Administration may impact our industry.

Innovation

Learn the latest technological advances, research and case studies from industry leaders who will share how participants can apply this insight in moving a population toward healthier lifestyles.

Education

Receive continuing medical education (CME) and Continuing Education Units (CEU) units through a series of interactive workshops where the practitioners share industry best practices that participants can put to use within their own organizations.

No other conference combines fresh insight on population health policy with practical, applicable knowledge shared by the industry’s leading players. Here is a link with additional information and registration details.

I hope to see you there!

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