Population Health Management Updates

Population health management (PHM) has become an important tool for supporting better patient outcomes and containing healthcare costs. For those reasons, along with government mandates and greater application of healthcare IT tools, the population health management market is continuing to grow. On May 5, 2022, Vantage Market Research released the findings of its analysis of…


914Inc. Magazine Names 2022 Women in Business Award Recipients Amalgamated Family of Companies’ Ellen Dunkin, Esq. among the Honorees

914Inc. Magazine has announced its winners of the prestigious 2022 Women in Business Award program. Amalgamated Family of Companies’ Senior Vice President, General Counsel and Chief Risk Officer Ellen Dunkin, has been named one of the honorees. The award recognizes “some of the most successful, influential and inspirational female executives, entrepreneurs, and government and nonprofit…


Harvard Study Confirms the Value of Care Management

A recent Harvard Medical School study compared data compiled over eight years from patients enrolled in Blue Cross Blue Shield’s Alternative Quality Contract (AQC) to a control group in other states. The AQC is a population-based model that utilizes rewards and penalties based on healthcare provider performance. The study revealed that care management services have…


The Four Pillars of High Quality Care Management

While many healthcare plan sponsors and other payers rely on care management services to help contain healthcare costs, few focus on the most important traits to seek in an effective care management program. According to McKinsey & Company, payers can improve the healthcare spending ROI and ensure a high quality healthcare experience for their members,…


Hospitals Benefit from Outsourcing Utilization Management

Utilization management is considered one of the most important measures hospitals can take to reduce preventable patient readmissions and the revenue losses they incur. In addition, the benefits utilization management provides for patients, as well as hospitals and insurers are well-recognized. They include higher quality of care, lower costs, and fewer claim denials for patients;…


Celebrating Customer Service Week Worldwide

What began in 1987 as a way for organizations to acknowledge their customers has since grown into an international event celebrated by all 50 states in the U.S. and 60 countries across the world. Tens of thousands of organizations across diverse industries celebrate with activities ranging from thank you letters and promotional gifts for customers…


Healthcare Providers: Beware of Fraudulent Telehealth Companies

The U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert on July 20, 2022 specifically relating to the actions of fraudulent telehealth companies. Based on the OIG’s civil and criminal investigations, healthcare practitioners are being targeted by these companies, which claim to provide telehealth, telemedicine or telemarketing…


Nurse Helplines – A Great Resource for Addressing Seasonal Allergy Questions

For anyone who suffers from seasonal allergies, the congestion, runny nose, scratchy eyes and more, are nothing to sneeze at. While many people with hay fever and allergic rhinitis or other related conditions may turn to over-the-counter (OTC) medications, many suffer in silence – with the exception of a few sneezes here and there. One…


Case Management – Vital in Care of Long-Haul COVID Patients

COVID-19 may seem under control as thousands of  people have become vaccinated and boosted. Its variants, however, call for continued caution and safe habits. Additionally, for many individuals who did become infected with the virus, remaining symptoms are cause for concern. For these individuals, who have developed post-acute sequelae of COVID-19 (PASC) or in layman’s…


The Critical Role of the Case Manager

When a patient is discharged from the hospital, there is no more critical role than that of the medical case manager. This Registered Nurse, with extensive clinical experience and who often holds the designation of Certified Case Manager (CCM), has many responsibilities to fulfill. All of these duties are performed to help ensure the best…