CLINICAL & DISEASE MANAGEMENT

The health of your people is your business. There are many firms working to deploy innovative solutions for the workplace. Our industry will continue to evolve through three distinct curves of health. Phase one revolves around the notion of treating the sick through fee for service medicine. Phase two embarks upon a population health approach with different forms of reimbursement (DRGs, Capitation, Bundled Payments and Episodes of Care) and Phase Three will transform the industry through personalized health involving precision medicine, genomics, big data and digital technology that is rapidly changing each day.

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In Search of Zero's and Hero's

The employer plan sponsors that I have met with since 2018 may have noticed that I take a sterner tone when we broach the topic of strategies around preventive medicine, population based health and well-being, clinical or targeted disease management programs. The reason for me is simple. I saw a system fail a family member and it impacted his quality of life when it was all completely preventable.

Primary Care Delivered to the Home

Our company recently enhanced our employee benefits program to allow for all plan participants to be able to schedule a Virtual Checkup through our corporate health plan. Since I just completed the process yesterday, I thought I would share some perspectives as a professional employee benefits consultant who works with self-funded plan sponsors and my unique experience.

Opioid Addiction – What is a Plan Sponsor to Do?

The leading PBMs and carriers are aligning interventions with the Centers for Disease Control and Prevention’s (CDC) guidelines. Here are four considerations you might want to review under your corporate benefit plans: