Posts Tagged ‘consumer-directed care’

Infographic: Patient-Driven Healthcare Through Mobile Technology

November 30th, 2015 by Melanie Matthews

The traditional healthcare environment is changing to one where information is handled more efficiently and consumers are taking more control of healthcare decisions.

A new infographic by Samsung examines how the use of mobile devices is changing healthcare consumer and provider behaviors and the benefits of mobile health.

From home sensors that track daily motion and sleep abnormalities to video visits via teleconferencing, Humana’s nine pilots of remote patient monitoring test technologies to keep the frail elderly at home as long as possible. When integrated with telephonic care management, remote monitoring has helped to avert medical emergencies and preventable hospitalizations among individuals with serious medical and functional challenges.

In Remote Patient Monitoring for Enhanced Care Coordination: Technology to Manage an Aging Population, Gail Miller, vice president of telephonic clinical operations in Humana’s care management organization, Humana Cares/SeniorBridge, reviews Humana’s expanded continuum of care aimed at improving health outcomes, increasing satisfaction and reducing overall healthcare costs with a more holistic approach.

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Infographic: Consumer Healthcare Payment Trends

June 12th, 2015 by Melanie Matthews

Consumer payments to healthcare providers increased by 193 percent in 2014, according to a new infographic by Instamed.

The infographic also examines other healthcare consumer payment trends.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow NetworksGreater cost transparency and consumer engagement are front-and-center in the health insurance revolution that is underway, and the use of data is driving these monumental changes.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow Networks examines the various ways claims data can be used in the new health insurance marketplace. In addition to helping support the adjudication of out-of-network claims, claims data can provide the building blocks for ACO development, as well as the foundation for pursuing a narrow-network strategy, developing consumer-oriented tools to promote effective plan selection and plan management, and building internal dashboards for strategic decision making.

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Infographic: Consumer Understanding of Health Insurance Coverage

February 13th, 2015 by Melanie Matthews

While the ACA has encouraged the U.S. healthcare system to become more consumer-focused, a recent online survey, conducted by Harris Poll on behalf of SCIO Health Analytics®, revealed that many insured Americans do not have a clear understanding of what healthcare services are covered under their current plan, and have avoided visiting a doctor for a general health concern within the past 12 months because of cost concerns.

An infographic by SCIO Health Analytics delves into the study’s findings, with a look at the number of individuals who did not seek medical care due to cost concerns, the impact of this avoidance and how health plans can use big data to provide appropriate guidance to healthcare consumers.

Narrow Network Strategies and Trends for Health Plans and PBMsNarrow networks — for both medical and pharmacy providers — are gradually becoming more accepted by carriers, plan sponsors and patients. Smaller provider networks allow payers to manage overall healthcare costs while still maintaining access to benefits — an important consideration as plan designs become more commoditized in the age of public and private health insurance exchanges.

Narrow Network Strategies and Trends for Health Plans and PBMs outlines the tactics health plans are using to restrict medical and pharmacy networks while still maintaining adequate access to care and positive relationships with providers. It also summarizes case studies of health plans and PBMs that have formed narrow networks and the results they’ve seen.

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Infographic: The Building Blocks of Healthcare Exchanges

August 27th, 2013 by Jackie Lyons

As the healthcare industry shifts to consumer-directed healthcare models, health insurers and payors must identify consumer behavioral patterns, assess risk by consumer segments and ultimately design tools and benefits that will help segmented populations.

Of the 33 million people who will be newly insured by the Affordable Care Act, chronic older adults account for 44 percent of costs and 261 per 1,000 emergency room visits, according to a new infographic from SCIO Health Analytics. This infographic also illustrates the changing healthcare landscape and the importance of consumer segmentation for designing health plans and strategies via exchange landscape, employer markets, population segments and plan design optimization.

The Building Blocks of Healthcare Exchanges

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You may also be interested in this related resource: Futurescan 2013: Healthcare Trends and Implications 2013-2018.