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Utilization

11 items

  • How can employers encourage increased utilization of employee assistance programs (EAPs)?

    We know that more and more employees are dealing with increased stress both inside and outside the workplace these days, and

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  • Why is medical necessity a factor when reviewing health claims?

    As employers work to get more control of the health plan dollars they’re spending, closer claim review has become a key

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  • How can educating employees to be smart consumers of care impact a health plan?

    In the case of a self-funded health plan, TPAs can work with employers to put the very best cost containment tools

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  • How is the concept of “everywhere care” affecting consumers?

    This is a concept that was explored at our Cypress University conference last spring and explained as an innovation opportunity for

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  • Why Are So Many Companies Opening On-Site Medical Clinics at the Workplace?

    For a while there, the concept of having an outside company come in and provide employees with biometric screenings seemed pretty

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  • Is Low Health Literacy a Problem, and What Is Being Done to Address It?

    Before digging into this question, I think it would help to explain the concept. Health literacy is the ability to understand

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  • In Reviewing Two Separate Health Claims for the Same MRI Procedure, How Can the Charges Be So Drastically Different?

    We see cases of this all the time. The same procedure is performed at two different locations (sometimes within just a

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  • Can choosing care at one facility over another really make that much of a difference savings-wise for health plans?

    It can and it does. In the self-funded world, I hear people make reference to general examples quite often, but sitting

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