|Collaborative Risk Adjustment and Care Coordination for Medicare Advantage and Dual Eligibles|
September 24, 2013
AHIP's 2013 Medicare & Medicaid Conferences
David Corrigan, Director of Informatics for Lumeris, spoke at AHIP’s 2013 Medicare and Medicaid Conference addressing how taking a collaborative approach to care coordination and risk adjustment to treat patients with multiple chronic conditions can produce positive cost and quality outcomes. These outcomes include closed gaps in care, better management of chronic conditions and more accurate documentation and coding, helping health plans ultimately achieve the Triple Aim Plus One: Improved cost, quality and patient plus physician satisfaction.
| ||What Commercial Insurers Need to Know About Exchanges|
September 26, 2013
Emerging Solutions Podcast Series
| ||Clinical Pathways: Improving Care and Providing Value to Health Plans, Providers and Patients|
September 17, 2013
Emerging Solutions Podcast Series
| ||Payer New Normal: Age of Exchanges and Consumerism|
September 6, 2013
2013 Institute Innovations Center. The Affordable Care Act is bringing much change and opportunity to health plans, providers, and patients. Many of these changes are being structured, developed, and implemented with the help of IT. Health plans and providers will want to understand how these emerging technologies will impact their business.
| ||Changing Landscapes: Driving Value with IT Effectiveness|
September 4, 2013
2013 Institute Innovations Center. The Nolan Company’s Healthcare IT Practice is a core practice area of the firm; EffectIT is a primary focus of our Healthcare IT Practice because the elevated rate of change in the Healthcare industry has created an extraordinary challenge for healthcare payers.
| ||Counting Savings Instead of Sheep: AIM Sleep Solution|
August 19, 2013
2013 Institute Innovations Center. The AIM Sleep Solution provides the industry’s most comprehensive program for health plans and employers to drive appropriate testing, support therapy compliance and ensure care is more affordable, while delivering the highest quality of care to consumers.
| ||Driving Successful Member Engagement|
August 19, 2013
2013 Institute Presentation Stage. This session provides details on how video technology can be used to effectively engage members. In addition, this session highlights best-practices on how to drive successful member engagement campaigns by understanding member preferences.
| ||Enabling Connected Health in Today’s Post-Reform Market|
August 14, 2013
2013 Institute Presentation Stage. This session provides details about a model that comprises technology solutions, care management programs and diagnostic devices to drive real-time, actionable physician interventions and patient behavior change.
| ||Accenture Doctors Survey: Implications for Health Plans|
August 6, 2013
Emerging Solutions Podcast Series. Learn how health plan executives can leverage doctors’ increased use of healthcare IT and the increase of patient engagement, to offer new product offerings, improve coordination of patient care and business operations.
| ||Health Care Transparency Adoption: New Benchmark Study Reveals Industry Insights|
August 1, 2013
2013 Institute Presentation Stage. This session highlights the results of a new benchmark study showing how health insurance plans across the country are thinking about and planning for increased transparency. Discover how your company compares to the collective industry view.
| ||Big Data and Predictive Analytics in Healthcare: Case Study|
July 23, 2013
2013 Institute Presentation Stage. This session discusses how Big Data and predictive analytics can be used to deliver actionable insights to address outcomes, patient risks and compliance adherence.
| ||Payer IT Innovation and Operational Excellence|
July 18, 2013
2013 Institute Presentation Stage. This session provides insights into new IT strategies for payers. You will learn the role IT plays in consumerism and strategies on how to begin to transform your IT function to address healthcare convergence and consumerism.
| ||Driving Business through Improved Human Performance|
July 18, 2013
2013 Institute Presentation Stage. This session provides you with an innovative end-to-end strategy for reducing time to proficiency and improving productivity for customer service, claims processing and telesales roles.
| ||Reducing Follow up Calls on Claims with the Claim Status Inquiry (CSI) Transaction|
June 7, 2013
Emerging Solutions Podcast Series. As one of our core services, athenahealth manages the revenue cycle transactions (claim submission through remittance processing) for our clients (medical caregivers). We utilize the ANSI claim status inquiry (CSI) transaction to reduce phone calls we would otherwise place to insurers on our clients’ behalf. Over the past 5 years, we have developed strategies to utilize data within the transaction and observations regarding payer best practices when implementing the transaction. We want to share our insight to aid payers in determining how to invest in this transaction and reduce phone call inflow.
| ||Preparing Your Business for Disaster Recovery|
May 23, 2013
Emerging Solutions Podcast Series. Health plans have an obligation to be available when disaster strikes. With hundreds of members in the healthcare and insurance industry, Agility’s ReadySuite solution provides health plans with an affordable and reliable solution should the unthinkable happen. For health plans small and large, Agility can be the difference between giving into a crisis and surviving one. Having Agility on your side will ensure your organization is better prepared to respond to any disaster for the benefit of your employees, customers, and community.
| ||Why the Member Experience Matters Now More Than Ever|
May 23, 2013
Emerging Solutions Podcast Series. This podcast will help healthcare payers who are struggling to transition from a B2B to a B2C model, trying to find relevance in an environment of increased regulatory scrutiny and meeting the challenges of marketing to the currently uninsured. Insights from Cincom Document Solutions’ Program Director, Lori Gelter will help healthcare payers to avoid becoming irrelevant as a commoditized product and compete on value rather than price. And, it all starts with the member experience.
| ||The Source for Payers to Automate Their Benefits Plan Management|
April 30, 2013
Emerging Solutions Podcast Series. Now with health care reform’s increased compliance, data collection, reporting and tracking challenges, plan management systems are now critical to cost effectively and accurately generating competitiveness and profitability. Plans need to centralize benefits plan information as a foundation for future success by reducing complexity with managing and updating benefits plan information. Listen in as HighRoads explains ways to increase cost savings for health care and administration.
| ||mHealth: Leading Mobility Trends and Opportunities in Healthcare |
March 28, 2013
Emerging Solutions Podcast Series. The use of mobile technology in healthcare is fostering big changes across the healthcare industry. Accenture’s leading experts in mobile health Lisa Mitnick, Executive Director of Mobility Services and Frances Dare, Managing Director of Connected Health Practice take a look at what is driving increased mobility in healthcare and the latest best practices and cutting-edge mobility trends for engaging patients. In this podcast series they present ways that mobile health can deliver value added services to consumers and providers, allow consumers self-health management, enable connectivity and collaboration among clinicians, improve management of patients with chronic diseases, and enhance payer-provider business services.
| ||Improve Prospective Claims Analysis|
March 28, 2013
Emerging Solutions Podcast Series. Incorrectly paid claims cost payers and providers billions of dollars each year in under and over payments. In addition, incorrect payments require a lot of rework to fix the problem, reduce waste and lower friction with members and providers. A better solution is to apply predictive modeling and data analytics to improve claim payment processes before the claim is settled. Listen to this podcast and gain insights how to apply solutions that enhance the claims payment processes and help to mitigate errors upfront, creating substantial savings for both health payers and providers.
| ||Taking a "No Excuses" Approach to 5-Star Operational Measures|
January 31, 2013
Emerging Solutions Podcast Series. Accenture leadership focuses on the key questions health plans should be asking to determine whether quality improvement, member engagement and operations improvement programs will achieve the desired, measurable results.