The Expertise Imperative and Compliance Technology
Access to a diverse array of specialized expert inputs drives superior decisions in every organizational context: within corporations, by investors and consultancies, and within nonprofits. When decision makers are confident of their decision inputs, they can respond more quickly and creatively to challenges and opportunities.Learn more about GLG's Compliance Framework
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The plans that figure out how to get doctors to self manage best of breed chronic care will certainly spend less money treating their insured lives. For example, preventing a colon cancer, cervical cancer, heart bypass, transplants, premature infant, stroke or MI saves big bucks. It saves...
When a member seeks medical care from a participating provider in their HealthPlan, they try to select a contracted specialist and a contracted hospital. Usually a member does not select the Anesthesiologist, because they usually don't even think of this provider treating them. HealthPlans...
The life of a member with a managed care plan may only be 12 months and then their employer may select another Payor. In tracking the progress of a member's health, there is a delay of at least 90 days to capture the claims data. Analyzing the data for a true improvement...
Using appropriate Pay for Performance programs can drive physician behavior and results in changes in utilization, these should be continued but the patient component is a larger issue.
Technology is proposed as a means to control health care costs through making the system more efficient. While a more efficient system will certainly be helpful, our current population needs a change in behavior in a societal way if we truly hope to bend the trend.
We are beginning to see the changes required to create a movement around the idea of prevention. Companies that can focus on this space and produce results will be the future of health care.
The Caribbean Basin offers a variety of benefits and opportunities for business, but it is far from the panacea for outsourcing. Only those who are first to act may benefit, and even then not without some problems.
Healthways has apparently decided that it is in their best interest to fight back against CMS over the recently released CMS report stating that vendors in Phase I of the Medicare Health Support Projects did not meet outcome or cost results. This may prove short sighted, and is certainly no way to make...
Pharmaceutical companies have an option. They can continue to endure increaingly higher costs, rigid regulatory pressures, and hostile special interests, or they can explore new alternatives that will allow them meet their mission and realize a reasonable retrun on investment. Which would you...