Online Resources

Patient Navigators

Patient Navigators Reducing Readmissions under ACA

As a value-based care environment begins to emerge under the ACA, reducing readmissions and unnecessary care through Patient Navigators becomes increasingly important. For years, readmissions have been an unnecessary high cost to healthcare payers throughout the USA. While there a multitude of factors contributing to this, a 2014 survey found that 75 percent of doctors […] Read More

The Key Steps Towards ICD-10 Readiness

Regardless of the calls for the ICD-10 compliance date to be delayed once more, those who take the risk of being unprepared come Oct. 1 of 2015 could end up in trouble. Amongst the uncertainty, there are still opportunities to continue toward ICD-10 readiness. The key here is that all healthcare players need to be […] Read More

HIPAA Concerns for 2015

Healthcare stakeholders are about to face a new frontier in the battle to remain HIPAA compliant and protect PHI and health data – digital. The new digital healthcare landscape is one of the key concerns for payers, providers, and patients as we enter into 2015 and have the opportunity to look back at 2014. Since […] Read More
Renewing Group Health Insurance

Renewing Group Health Insurance – Things to Know

During the 2015 open-enrollment period, employers have many different things to consider when renewing group health insurance. Many of the health law’s provisions impact how employers provide coverage to their employees and how they must continue to maintain it. There are multitudes of ways to provide such coverage, depending on the size of your business. […] Read More
Holiday Health Tips

Holiday Health Tips in the Workplace

The winter holiday season brings joy and cheer but can also bring increased absences, greater workloads and unhealthy behavior amongst the workforce. Employers may not be able to control what happens at employees’ homes with their nutrition and physical activity, but can at least provide tools and incentives with little effort to make their workforces healthy […] Read More
Narrow Provider Networks

Protecting Patients Against Narrow Provider Networks

Narrow provider networks – which allow insurance companies to keep premiums down by including physicians they see as providing less-costly, more value-based care – are not a new phenomenon. However, after the passing of the PPACA and almost a year of the new health law being in place, narrow networks seem to be disgruntling a […] Read More
EHRs & mHealth

EHRs & mHealth Go Hand-in-Hand

In terms of HealthIT, the ‘Arms Race’ is being won by two types of ammunition – EHRs & mHealth. While the race to improve, innovate and attest takes center stage, very few stakeholders have come to realize that each go hand-in-hand. Recent discussions have skewed this idea, as many point to EHRs as scapegoat for a host of […] Read More

2014 Employer Health Benefits Survey

Annual premiums for employer-sponsored family health coverage rose 3 percent from 2013 to reach $16,834 in 2014, according to Kaiser Family Foundation/Health Research & Educational Trust 2014 Employer Health Benefits Survey. Moderate premium growth has been a steady trend over the last few years, since the introduction of healthcare reform. However, this isn’t a direct […] Read More
Patient Engagement

Patient Engagement Efforts Under the ACA

Patient Engagement is now being referred to as the “Blockbuster Drug of the Century” as we continue to make the turn towards value-based care under the ACA. Facilitated through the Patient Centered Outcomes Research Institute (PCORI), the ACA encourages patients and providers to become more active partners in making the crucial strategic decisions over improving […] Read More

Report: Affordable Marketplace Premiums

A new Commonwealth Fund Report has shed light on the affordability of health insurance plans bought through the marketplace. The report, Are Americans Finding Affordable Coverage in the Health Insurance Marketplaces?, reflects the finding of a survey that was conducted across a representative sample of over 4,000 individuals. The survey tracked people’s experiences shopping for […] Read More

HIMSS Pushing Telehealth Forward

The Healthcare Information & Management System Society (HIMSS) has proposed to congress a number of actions to be taken to advance telehealth & health IT efforts throughout the US & under the ACA. HIMSS outlined three formal requests for congressional action. HIMSS Requests to Congress 1. Expand telehealth services to improve access to care, patient […] Read More

2015 ACA Premium Cost Drivers

With 2015 rates being announced throughout many US states, health insurance premiums for plans under the health law are expected to rise. Florida was among the states seeing a sharp average increase – Florida health plans will see a rise in premiums of 13.2%. Florida Premium Rate Changes 14 companies filed to offer plans through […] Read More