Cantor Health Interactive has acquired new healthcare management software to help businesses reduce costs. The software utilizes predictive modeling and simulation to identify unexpected medical and pharmaceutical expenses. It provides tools to monitor costs, understand cost drivers, and implement programs to educate employees and incentivize lower costs. For example, it can encourage switching to generics. Over 100 businesses tested the system, achieving average savings of over 15% on total healthcare costs.
This document discusses improving employee benefits programs. It recommends asking three key sources for information: 1) Company leadership to define the corporate benefits philosophy; 2) Competitors to benchmark benefits; 3) Employees to understand their needs and priorities. Combining this information will help structure and revamp the benefits package in line with company goals. It also emphasizes the importance of prompt claim reporting to reduce costs, through early treatment, case management, and return to work programs.
Home Care Software Solutions introduces three agency management software solutions: CareSmart AMS, CareSmart Billing, and EDI Smart Reader. CareSmart AMS is a comprehensive agency management software that includes features like patient management, document management, medication reconciliation, secure messaging, electronic signatures, billing, and reporting. CareSmart Billing provides outsourced billing services for home health, hospice, and medical providers. EDI Smart Reader translates EDI response files into a readable format to help users understand rejection reasons and error codes.
From Complexity and Frustration to Simplicity and Effectiveness it is the most viable foundation for discovering new opportunities that build momentum and inspire growth.
Revenue Cycle Risk Mitigation White Paper December 1 2010 Ver 1 2Phil C. Solomon
This document discusses strategies for healthcare providers to mitigate revenue risk and improve their revenue cycle performance. It recommends leveraging operational business intelligence tools to gain real-time insights into revenue cycle metrics and key performance indicators. This allows providers to identify negative trends early and make timely decisions. The document also stresses the importance of continuous benchmarking against performance metrics and communicating goals to all staff involved in the revenue cycle process. The overall aim is for providers to optimize revenue capture and cash collection in the complex healthcare environment.
10 Ways to Ensure Optimal Management of Your Practicerweymier
This document provides 10 ways for physicians to ensure optimal management of their medical practice. It discusses the importance of:
1) Billing, collecting, and managing accounts receivable efficiently by billing daily, using electronic filing, and auditing claims.
2) Proactively managing relationships with insurance payers by organizing contracts, monitoring payer performance, and negotiating renewals in advance.
3) Investing in staff by providing training, clear job descriptions, and collaboration to improve performance and patient experience.
HVantage Technologies provides revenue cycle management services and is a subsidiary of DCNPL Pvt. Ltd. HVantage was founded by members from premier institutes with experience at Fortune 500 companies. HVantage offers end-to-end revenue cycle management services including medical transcription, coding, billing, and accounts receivables management. The company aims to become the preferred partner for healthcare business process transformation and technology-driven solutions by maximizing revenue for clients.
This presentation was given by Chris Carnahan on October 26, 2016 at the National Association of Certified Valuators and Analysts (NACVA) and the Consultants' Training Institute's (CTI) Exit Planning, Mergers and Acquisitions, and Transaction Advisory Services Conference. This piece discusses the valuation of a practice when a physician leaves. It will cover fair market valuation regulations, trends and marketplace data, as well as the Income, Market, and Asset Approach.
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
This document discusses improving employee benefits programs. It recommends asking three key sources for information: 1) Company leadership to define the corporate benefits philosophy; 2) Competitors to benchmark benefits; 3) Employees to understand their needs and priorities. Combining this information will help structure and revamp the benefits package in line with company goals. It also emphasizes the importance of prompt claim reporting to reduce costs, through early treatment, case management, and return to work programs.
Home Care Software Solutions introduces three agency management software solutions: CareSmart AMS, CareSmart Billing, and EDI Smart Reader. CareSmart AMS is a comprehensive agency management software that includes features like patient management, document management, medication reconciliation, secure messaging, electronic signatures, billing, and reporting. CareSmart Billing provides outsourced billing services for home health, hospice, and medical providers. EDI Smart Reader translates EDI response files into a readable format to help users understand rejection reasons and error codes.
From Complexity and Frustration to Simplicity and Effectiveness it is the most viable foundation for discovering new opportunities that build momentum and inspire growth.
Revenue Cycle Risk Mitigation White Paper December 1 2010 Ver 1 2Phil C. Solomon
This document discusses strategies for healthcare providers to mitigate revenue risk and improve their revenue cycle performance. It recommends leveraging operational business intelligence tools to gain real-time insights into revenue cycle metrics and key performance indicators. This allows providers to identify negative trends early and make timely decisions. The document also stresses the importance of continuous benchmarking against performance metrics and communicating goals to all staff involved in the revenue cycle process. The overall aim is for providers to optimize revenue capture and cash collection in the complex healthcare environment.
10 Ways to Ensure Optimal Management of Your Practicerweymier
This document provides 10 ways for physicians to ensure optimal management of their medical practice. It discusses the importance of:
1) Billing, collecting, and managing accounts receivable efficiently by billing daily, using electronic filing, and auditing claims.
2) Proactively managing relationships with insurance payers by organizing contracts, monitoring payer performance, and negotiating renewals in advance.
3) Investing in staff by providing training, clear job descriptions, and collaboration to improve performance and patient experience.
HVantage Technologies provides revenue cycle management services and is a subsidiary of DCNPL Pvt. Ltd. HVantage was founded by members from premier institutes with experience at Fortune 500 companies. HVantage offers end-to-end revenue cycle management services including medical transcription, coding, billing, and accounts receivables management. The company aims to become the preferred partner for healthcare business process transformation and technology-driven solutions by maximizing revenue for clients.
This presentation was given by Chris Carnahan on October 26, 2016 at the National Association of Certified Valuators and Analysts (NACVA) and the Consultants' Training Institute's (CTI) Exit Planning, Mergers and Acquisitions, and Transaction Advisory Services Conference. This piece discusses the valuation of a practice when a physician leaves. It will cover fair market valuation regulations, trends and marketplace data, as well as the Income, Market, and Asset Approach.
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
Managed Care Contracting and Network Development ConsultantsHeather Burke
The document provides information about the services offered by Healthcare Provider Connections (HCPC), a consulting firm that specializes in network development for managed care organizations. HCPC utilizes experienced consultants with years of experience in managed care contracting to negotiate rates and contracts with various provider types across the country. HCPC prides itself on its proven contracting process that can develop strong provider networks within tight timeframes and its customized CRM tools to track contracting progress. A variety of network development services are listed, including market research, provider outreach and education, contract negotiations, and reporting.
The document provides tips for contracting with managed care organizations (MCOs). It discusses the four knows: 1) Know the rules of the program and MCO requirements, 2) Know what the MCOs need and want, 3) Know your own organization, and 4) Know your contracting strategy options. It emphasizes understanding state and MCO requirements, determining MCO needs, promoting your organization's value, considering alternative payment models, and being prepared to negotiate. The tips aim to help providers effectively contract with MCOs participating in state managed care programs.
Healthcare Risk Analytics Power Of Knowledge Us Captivepaulmarshall
The document discusses how using data analytics and predictive modeling (risk analytics) can help long-term care organizations better understand and manage their risks. It provides examples of how risk analytics can help identify facilities most at risk of claims, target risk management resources more effectively, and put claims in proper context. The document argues that incorporating risk analytics into risk management programs allows for more accurate and timely risk analysis with fewer surprises.
The document discusses performance management systems and how they can help health care organizations navigate challenges. Specifically, it discusses:
1) How Kurt Salmon Associates provides management consulting services including strategy, facility planning, and IT to various health care providers.
2) How performance management systems like the Balanced Scorecard can help organizations link strategic objectives to operations by monitoring key performance indicators.
3) An example of how a performance scorecard could be designed for a cardiology center of excellence, identifying objectives, metrics, and the relationships between metrics in each of the four Balanced Scorecard perspectives: financial, internal processes, learning and growth, and customers.
Keeping Productivity Up Throughout a Health Facility’s Transition - Steve Car...marcus evans Network
Steve Carter of The Carter Group, a solution provider at the marcus evans National Healthcare CXO Summit Spring 2013, on healthcare facility transition planning.
Interview with: Steve Carter, President, The Carter Group
Proactively manage quality and outcomes readmissionsBrenda Aulinskis
The document discusses challenges in healthcare around reducing preventable hospital readmissions and the financial penalties providers face; it presents SAS's readmission analytics platform which uses data integration, predictive modeling, and clinical decision support to identify at-risk patients, determine the interventions most likely to prevent readmissions, and optimize outcomes. The platform aims to help providers engage patients, make evidence-based decisions, and lower readmission rates and costs.
As business, you have two choices: let rising healthcare costs continue to eat away at your profits – or do something about it. The old healthcare model does not work, and healthcare reform laws will not lower your costs. Employees are overweight, more susceptible to illness and chronic disease and have no understanding of the true costs of healthcare or even know how to find the best care. A new paradigm is needed to control rising healthcare costs. In the care setting, the traditional insurance models distort the reality of health care for its most important consumer – the patient. Employers should shift the paradigm to allow the patient to step above the fog and find themselves as powerful consumers with the ability to demand higher value and more cost-effective care.
Business Intelligence And Healthcare White Paper (English)smitchell1974
Major applications of business intelligence software in the healthcare industry include:
1) Financial analysis to reduce costs and ensure quality care
2) Quality performance and safety analysis to improve clinical processes and outcomes
3) Marketing analysis to better target performance goals and identify ways to improve care
This document discusses how moving to a true cloud-based ERP system can help healthcare providers succeed by improving efficiency. It notes that digital transformation in healthcare is being driven by consumer demand for better experiences. While many providers have adopted some new technologies, successful digital transformation requires integrating across departments. The document argues that a cloud-based ERP can eliminate silos by providing real-time, centralized access to financial, HR, supply chain and other data. Key benefits mentioned include improved decision-making, better talent management, and increased productivity. Examples are provided of healthcare providers that have boosted efficiency and outcomes by implementing a cloud ERP system.
Become a Dragon(r) Medical Practice Edition Partnergr8situation
This document provides information on becoming a reseller for Dragon Medical Practice Edition speech recognition software. It outlines the benefits of partnering with eDist Business to sell DMPE, including opportunities for growth, excellent profit margins of 30%, and eDist's marketing support and training programs. eDist invites partners to leverage their diverse inventory of voice solutions and logistics to increase revenue and profits in 2013.
Strategic Enabler: The New Healthcare CFOaccenture
Healthcare CFOs are pivoting to a more strategic and far-reaching role with data and analytics for pricing transparency and boosting revenues. Learn more: https://accntu.re/2UFsx39
The document discusses emerging trends and innovations that are driving healthcare transformation in Canada. It identifies the top 10 healthcare game changers, including: 1) Healthcare clouds that will take health records off mainframes and make them accessible online; 2) Health analytics that will use more available data to improve decision making and care; 3) New payment models that will tie funding to quality and outcomes rather than just outputs.
Insight Driven Health identifies 10 emerging healthcare trends in Canada:
1. Healthcare clouds will facilitate secure sharing of electronic health records across organizations.
2. Health analytics will use growing data to drive more informed decisions and higher quality, lower cost care.
3. Payment models will increasingly be tied to quality and outcomes rather than volume of services.
4. Tablet computers will play a critical role in adoption of technologies like electronic medical records.
5. Mobile health apps will empower consumers and change behaviors while enabling new clinical management.
ExecutiveInsight July 2014 - Supply Chain cover storygaryjohnson500
The document discusses strategies for optimizing healthcare supply chain management. It notes that simply relying on group purchasing organizations for lower prices is no longer sufficient, and health systems are now looking more closely at cost variability, utilization, and quality across hospitals, units, and clinicians. Advanced analytics and improved value analysis processes are helping to generate savings. However, fully optimizing supply chain management requires accountability across the entire health system to improve processes and focus on patient outcomes. Automating supply chain processes can also reduce waste compared to current manual methods. Coordinating all facets of vendor management through a streamlined supply chain is key to generating savings from this area, which accounts for up to half of total healthcare costs.
Internet marketing mark 468 health group - finalJamesonCase
HealthConnect provides an interactive online health portal that aggregates medical records from various sources using an API. This gives consumers access to their health information in simple, easy to understand graphics showing trends over time. The system aims to empower consumers to better manage their health and make informed decisions. Additionally, HealthConnect offers data analytics services to healthcare providers and insurers to help reduce costs and improve care quality. A key part of the marketing strategy is partnering with health insurers who will promote HealthConnect's services to their network of providers and consumers. This expands the potential user base while meeting insurers' needs for better health data and analytics.
The document discusses a mobile app called Mirror MD that aims to reduce hospital readmission rates and costs. Mirror MD allows patients to self-report data to psychiatrists between appointments through a web-based dashboard. It also enables psychiatrists and their staff to view patient data and respond before meetings. Experts in the field believe such an app that empowers proactive patients could improve care quality while lowering costs.
Elevating the Health of Healthcare: A Four Step GuideIntalere
This white paper outlines a four step guide for healthcare providers to elevate their operational health: 1) seek customized solutions tailored to their unique needs and challenges; 2) effectively manage their non-labor spend, which accounts for up to 50% of costs; 3) leverage innovative technologies, products, and services; and 4) adopt best practices from successful provider-led models. The paper provides examples of how partnerships with experienced organizations have helped providers implement these steps to significantly reduce costs while maintaining or improving care.
The document discusses how healthcare leaders need business intelligence tools to help them make informed decisions in response to changing market pressures. It describes how an integrated clinical and financial business intelligence system, such as an enterprise data warehouse, can provide healthcare organizations with a single source of truth by combining data from various systems. This allows organizations to gain deeper insights across the enterprise and empower stakeholders to enhance quality of care, reduce costs, and drive revenue.
Life Sciences Implications of the U.S. Affordable Care ActCognizant
Life sciences companies will see substantial changes due to the upholding of the U.S. Affordable Care Act (ACA), and we offer a map of some of the forseeable developments for drug and device manufacturers, biotechnology innovators, and others. A primer on ACA impact on revenue opportunities, earnings pressures, pricing effectiveness, compliance and business models.
This document discusses considerations for launching a specialty product. It emphasizes the importance of demonstrating value through clinical and cost effectiveness data, ensuring patient access to therapy, and generating data to support value claims. It provides tips for defining goals, building an integrated team, and refining a launch strategy focused on these priorities. The strategy should consider innovative contracting, outcomes-based agreements, and communicating the right evidence to the right audiences. Overall, the document stresses that demonstrating value is critical for specialty product launches, especially with increased attention on healthcare costs.
Managed Care Contracting and Network Development ConsultantsHeather Burke
The document provides information about the services offered by Healthcare Provider Connections (HCPC), a consulting firm that specializes in network development for managed care organizations. HCPC utilizes experienced consultants with years of experience in managed care contracting to negotiate rates and contracts with various provider types across the country. HCPC prides itself on its proven contracting process that can develop strong provider networks within tight timeframes and its customized CRM tools to track contracting progress. A variety of network development services are listed, including market research, provider outreach and education, contract negotiations, and reporting.
The document provides tips for contracting with managed care organizations (MCOs). It discusses the four knows: 1) Know the rules of the program and MCO requirements, 2) Know what the MCOs need and want, 3) Know your own organization, and 4) Know your contracting strategy options. It emphasizes understanding state and MCO requirements, determining MCO needs, promoting your organization's value, considering alternative payment models, and being prepared to negotiate. The tips aim to help providers effectively contract with MCOs participating in state managed care programs.
Healthcare Risk Analytics Power Of Knowledge Us Captivepaulmarshall
The document discusses how using data analytics and predictive modeling (risk analytics) can help long-term care organizations better understand and manage their risks. It provides examples of how risk analytics can help identify facilities most at risk of claims, target risk management resources more effectively, and put claims in proper context. The document argues that incorporating risk analytics into risk management programs allows for more accurate and timely risk analysis with fewer surprises.
The document discusses performance management systems and how they can help health care organizations navigate challenges. Specifically, it discusses:
1) How Kurt Salmon Associates provides management consulting services including strategy, facility planning, and IT to various health care providers.
2) How performance management systems like the Balanced Scorecard can help organizations link strategic objectives to operations by monitoring key performance indicators.
3) An example of how a performance scorecard could be designed for a cardiology center of excellence, identifying objectives, metrics, and the relationships between metrics in each of the four Balanced Scorecard perspectives: financial, internal processes, learning and growth, and customers.
Keeping Productivity Up Throughout a Health Facility’s Transition - Steve Car...marcus evans Network
Steve Carter of The Carter Group, a solution provider at the marcus evans National Healthcare CXO Summit Spring 2013, on healthcare facility transition planning.
Interview with: Steve Carter, President, The Carter Group
Proactively manage quality and outcomes readmissionsBrenda Aulinskis
The document discusses challenges in healthcare around reducing preventable hospital readmissions and the financial penalties providers face; it presents SAS's readmission analytics platform which uses data integration, predictive modeling, and clinical decision support to identify at-risk patients, determine the interventions most likely to prevent readmissions, and optimize outcomes. The platform aims to help providers engage patients, make evidence-based decisions, and lower readmission rates and costs.
As business, you have two choices: let rising healthcare costs continue to eat away at your profits – or do something about it. The old healthcare model does not work, and healthcare reform laws will not lower your costs. Employees are overweight, more susceptible to illness and chronic disease and have no understanding of the true costs of healthcare or even know how to find the best care. A new paradigm is needed to control rising healthcare costs. In the care setting, the traditional insurance models distort the reality of health care for its most important consumer – the patient. Employers should shift the paradigm to allow the patient to step above the fog and find themselves as powerful consumers with the ability to demand higher value and more cost-effective care.
Business Intelligence And Healthcare White Paper (English)smitchell1974
Major applications of business intelligence software in the healthcare industry include:
1) Financial analysis to reduce costs and ensure quality care
2) Quality performance and safety analysis to improve clinical processes and outcomes
3) Marketing analysis to better target performance goals and identify ways to improve care
This document discusses how moving to a true cloud-based ERP system can help healthcare providers succeed by improving efficiency. It notes that digital transformation in healthcare is being driven by consumer demand for better experiences. While many providers have adopted some new technologies, successful digital transformation requires integrating across departments. The document argues that a cloud-based ERP can eliminate silos by providing real-time, centralized access to financial, HR, supply chain and other data. Key benefits mentioned include improved decision-making, better talent management, and increased productivity. Examples are provided of healthcare providers that have boosted efficiency and outcomes by implementing a cloud ERP system.
Become a Dragon(r) Medical Practice Edition Partnergr8situation
This document provides information on becoming a reseller for Dragon Medical Practice Edition speech recognition software. It outlines the benefits of partnering with eDist Business to sell DMPE, including opportunities for growth, excellent profit margins of 30%, and eDist's marketing support and training programs. eDist invites partners to leverage their diverse inventory of voice solutions and logistics to increase revenue and profits in 2013.
Strategic Enabler: The New Healthcare CFOaccenture
Healthcare CFOs are pivoting to a more strategic and far-reaching role with data and analytics for pricing transparency and boosting revenues. Learn more: https://accntu.re/2UFsx39
The document discusses emerging trends and innovations that are driving healthcare transformation in Canada. It identifies the top 10 healthcare game changers, including: 1) Healthcare clouds that will take health records off mainframes and make them accessible online; 2) Health analytics that will use more available data to improve decision making and care; 3) New payment models that will tie funding to quality and outcomes rather than just outputs.
Insight Driven Health identifies 10 emerging healthcare trends in Canada:
1. Healthcare clouds will facilitate secure sharing of electronic health records across organizations.
2. Health analytics will use growing data to drive more informed decisions and higher quality, lower cost care.
3. Payment models will increasingly be tied to quality and outcomes rather than volume of services.
4. Tablet computers will play a critical role in adoption of technologies like electronic medical records.
5. Mobile health apps will empower consumers and change behaviors while enabling new clinical management.
ExecutiveInsight July 2014 - Supply Chain cover storygaryjohnson500
The document discusses strategies for optimizing healthcare supply chain management. It notes that simply relying on group purchasing organizations for lower prices is no longer sufficient, and health systems are now looking more closely at cost variability, utilization, and quality across hospitals, units, and clinicians. Advanced analytics and improved value analysis processes are helping to generate savings. However, fully optimizing supply chain management requires accountability across the entire health system to improve processes and focus on patient outcomes. Automating supply chain processes can also reduce waste compared to current manual methods. Coordinating all facets of vendor management through a streamlined supply chain is key to generating savings from this area, which accounts for up to half of total healthcare costs.
Internet marketing mark 468 health group - finalJamesonCase
HealthConnect provides an interactive online health portal that aggregates medical records from various sources using an API. This gives consumers access to their health information in simple, easy to understand graphics showing trends over time. The system aims to empower consumers to better manage their health and make informed decisions. Additionally, HealthConnect offers data analytics services to healthcare providers and insurers to help reduce costs and improve care quality. A key part of the marketing strategy is partnering with health insurers who will promote HealthConnect's services to their network of providers and consumers. This expands the potential user base while meeting insurers' needs for better health data and analytics.
The document discusses a mobile app called Mirror MD that aims to reduce hospital readmission rates and costs. Mirror MD allows patients to self-report data to psychiatrists between appointments through a web-based dashboard. It also enables psychiatrists and their staff to view patient data and respond before meetings. Experts in the field believe such an app that empowers proactive patients could improve care quality while lowering costs.
Elevating the Health of Healthcare: A Four Step GuideIntalere
This white paper outlines a four step guide for healthcare providers to elevate their operational health: 1) seek customized solutions tailored to their unique needs and challenges; 2) effectively manage their non-labor spend, which accounts for up to 50% of costs; 3) leverage innovative technologies, products, and services; and 4) adopt best practices from successful provider-led models. The paper provides examples of how partnerships with experienced organizations have helped providers implement these steps to significantly reduce costs while maintaining or improving care.
The document discusses how healthcare leaders need business intelligence tools to help them make informed decisions in response to changing market pressures. It describes how an integrated clinical and financial business intelligence system, such as an enterprise data warehouse, can provide healthcare organizations with a single source of truth by combining data from various systems. This allows organizations to gain deeper insights across the enterprise and empower stakeholders to enhance quality of care, reduce costs, and drive revenue.
Life Sciences Implications of the U.S. Affordable Care ActCognizant
Life sciences companies will see substantial changes due to the upholding of the U.S. Affordable Care Act (ACA), and we offer a map of some of the forseeable developments for drug and device manufacturers, biotechnology innovators, and others. A primer on ACA impact on revenue opportunities, earnings pressures, pricing effectiveness, compliance and business models.
This document discusses considerations for launching a specialty product. It emphasizes the importance of demonstrating value through clinical and cost effectiveness data, ensuring patient access to therapy, and generating data to support value claims. It provides tips for defining goals, building an integrated team, and refining a launch strategy focused on these priorities. The strategy should consider innovative contracting, outcomes-based agreements, and communicating the right evidence to the right audiences. Overall, the document stresses that demonstrating value is critical for specialty product launches, especially with increased attention on healthcare costs.
The 10 Best Revenue Cycle Management Solution Providers 2018insightscare
In a pursuit to acknowledge the revolution some of these companies are bringing to the existing revenue cycle segment in healthcare, we bring to you the special edition, titled “The 10 Best Revenue Cycle Management Solution Providers 2018”. It highlights the pioneers in this industry as well as their contribution to augment the existing workflow.
Alterity provides portfolio-level employee benefits management services to private equity firms to optimize benefits costs and improve employee productivity. They serve as a single point of contact for benefit plans across a portfolio. Alterity offers access to a procurement consortium combining purchasing power across portfolios for health and other benefits. They also offer cost and trend reduction programs to reduce future benefits costs and deliver sustainable savings. Alterity has over a decade of experience in benefits and private equity, tailoring solutions to each client's unique needs.
Alterity provides portfolio-level employee benefits management services to private equity firms to optimize benefits costs and improve employee productivity. They serve as a single point of contact for benefit plans across a portfolio. Alterity offers access to a procurement consortium combining purchasing power across portfolios for health and other benefits. They also offer cost and trend reduction programs to reduce future benefits costs and deliver sustainable savings. Alterity has over a decade of experience in benefits and private equity and tailors solutions to each client's unique needs.
White Paper - Digital strategy and the shift to value based careTerence Maytin
Summary: The U.S. healthcare system is rapidly transitioning from fee-for-service to value- based care as part of massive and ongoing industry-wide transformation. Digital strategy is evolving to meet new challenges, help drive disruptive innovation, and better engage a large, growing audience of connected health consumers.
As well synthesized by Meg Whitman (CEO at Hewlett-Packard) “we’re now living in an Idea Economy, where the ability to turn an idea into a new product or service has never been easier”. This impact is pervasive on all industries, any company has to achieve enough agility to respond to market opportunities and threats and quickly turn ideas into reality.
For some years now, the “digital”-driven projects have become a priority for all the Insurance Groups. Let me add that here the term “digital” refers to several important aspects starting with a digitalized customer experience, which is completed by digital/technological processes aimed at improving the relationship with the clients and with the mid-term objective of maximizing the single client’s profitability.
Insurers are beginning - and those who are not doing so should start – to give serious thought to how they can build their strategy to incorporate the IoT into the insurance value chain.
The Internet of Things (IoT) is “the interconnection via the Internet of computing devices embedded in everyday objects, enabling them to send and receive data.” The most important factor in the IoT “equation” is the data – which is the main element providing value to the insurance company if harvested and analyzed in an adequate manner. In product development there should be a data collection & analysis approach embedded in the business model itself, otherwise the strategy will lack in bringing the desired added value. Having a “data mindset” in all the stages of the business will ensure that the implemented model will have the capacity to gather and analyze the high quantity of data provided by the interconnected devices and environments.
As Matteo Carbone who is an expert in the field says in his article, ultimately telematics is the integrated use of informatics and telecommunications; it is about registering, storing and analyzing data via telecommunication devices.
“Telematics could be one of the most relevant digital innovations in the insurance industry directly impacting the technical results. Due to the pervasive diffusion of the Internet of Everything, this approach could be extended from motor insurance to other insurance businesses.”
2. CANTOR HEALTH INTERACTIVE, a subsidiary of Cantor Fitzgerald, has
acquired a new healthcare software management tool to help businesses
monitor and reduce their healthcare costs. Cantor Fitzgerald, a
leading global financial services firm at the forefront of financial and
technological innovation, has been a proven and resilient leader for
over 60 years. One of 18 primary dealers authorized to trade U.S.
Question:
government securities with The Federal Reserve Bank of New Why do companies
York, the Cantor Fitzgerald franchise includes institutional fixed know more about
income, equity sales and trading, investment banking, real the cost of their
estate private equity, and other businesses and ventures. inventory and
supplies than
the cost of their
healthcare?
Answer:
NO REASON.
CANTOR HEALTH INTERACTIVE
Utilizes proprietary predictive modeling and
simulation capabilities to prevent businesses
from being blindsided by unexpected medical and
pharmaceutical costs
• Simplifies healthcare management information
• Allows clients to understand/pinpoint the source and
magnitude of specific healthcare costs
• Gives businesses the tools to educate employees and
Average savings provide incentives to lower costs today and limit increases
with Cantor in the future
Healthcare • Secure
Interactive • HIPAA – compliant
of more than 15%
of total healthcare
costs
3. UNDERSTAND WHERE YOUR COSTS ARE
HAVE THE ABILITY TO PROJECT YOUR
FUTURE EXPENDITURES
Plan Trends
REDUCE YOUR COST OF DOING BUSINESS
Performance
MANAGE AND CONTROL FUTURE
EXPENDITURES
Leverage Rx
Data to Save
Money
Action Plan
Using prescription drug data, Cantor Health Interactive turns this
information into active strategies, enabling employers to understand
where their risks are before they surface.
HEALTH
www.cantorhealthinteractive.com
4. For more information, or to arrange an initial
demonstration, please contact us:
info@cantorhealthinteractive.com
1-877-994-3251
ST P RISING HEALTHCARE COSTS
5. Overview
Cantor Health Interactive, (“CHI”), a subsidiary of Cantor Fitzgerald, has acquired a
new healthcare software management tool to help businesses monitor and reduce their
healthcare costs. The CHI technology utilizes proprietary predictive modeling and
simulation capabilities to reduce medical and pharmaceutical costs.
Stage 1
The starting point for a business is:
(a) it licenses the CHI software to allow it to monitor, understand and have the
analytical tools to evaluate its pharmaceutical and medical costs, and
(b) self-insures the pharmaceutical portion of its healthcare program to reduce its
costs. (A business may choose only to license the software to allow it to
understand and evaluate the nature of its healthcare costs; but, the initial savings
are derived from self-insuring the pharmaceutical plan.)
If a business self-insures its pharmaceutical plan, CHI can provide stop-loss coverage so
that there is no financial risk to the business.
Stage 2
Once a business understands the sources and magnitude of its pharmaceutical costs, it can
achieve significantly greater savings on its other medical expenditures by utilizing CHI’s
software and implementing recommended programs.
CHI’s software identifies high risk groups within an employee population, and
allows management to determine and deploy specific cost reduction programs,
such as:
1) utilizing the workflow engine to identify groups that could be encouraged
to switch to generic or more effective medications
2) providing incentives to begin certain medications (where appropriate) and
to engage in healthier behavior
3) access to doctors and nurses by telephone and internet, to be available to
work with participants to improve health and lower claims
4) system alerts related to prescription abuses or under use
5) system alerts to employees, physicians and nurses as to new treatments,
approaches or medications targeted at specific conditions.
6) pre-booking of certain medical services
CHI’s program also reduces insurance brokerage fees and hidden insurance company
profits. To date, the CHI technology and software has been tested by more than 100
businesses and has produced an average savings of 15% on total healthcare costs.
6. Cantor Fitzgerald Launches New Technology Offering to
Reduce Corporate Healthcare Costs
New York, NY (October 26, 2009) - Cantor Insurance Group, a unit of Cantor Fitzgerald LP, has joined with
Healthcare Interactive to introduce Cantor Health Interactive, a new healthcare software management tool to help
businesses monitor and reduce their healthcare costs.
“Most corporations know more detail about the cost of their inventory and office supplies than they do about the
cost of their healthcare. Employers need sophisticated tools to measure and control these costs. Our software
provides innovative forecasting and simulation capabilities that prevent companies from being blindsided by
unexpected medical and pharmacy costs,” said Stuart Hersch, President of Cantor Insurance Group.
Healthcare costs do not need to rise inexorably and inevitably,” Mr. Hersch stated. “We want our clients and their
employees to be as educated about healthcare costs as those selling them insurance products and services. Our
technology will promote competition; competition will drive down the costs.”
“Cantor has a long and distinguished history of launching new technologies in the financial services industry
designed to improve transaction efficiency. We are now applying that philosophy and those skills to control runway
healthcare costs,” he added.
“The Cantor Health Interactive service model is designed to simplify healthcare information and delivery. With the
right tools, understanding, education and incentives, we help businesses lower costs today and limit increases in the
future,” said Henry Cha, President of Healthcare Interactive.
The Cantor Health Interactive software, which is delivered through a secure, integrated HIPAA-compliant
intelligent on-line network, has been deployed and tested by more than 100 corporations resulting in average
savings of more than 15% on total healthcare costs.
7. Cantor Health Interactive
Projections for Medical and Rx Costs per employee per year
(for employee groups between 200 - 4,000)
$14,000
$12,000
$10,000 37%
33%
$8,000 29%
$8,000 24%
Base year
$6,000
Prior to CHI
Post CHI
$4,000
$2,000
$0
Base year Year 1 Year 2 Year 3 Year 4
Assuming a base cost of $8,000 per employee per year and a 12% per annum increase
8. We Can Save Your Corporation $$$
On Your Prescription Healthcare Plan……GUARANTEED!
By the Numbers
Corporate Rx Plan
($1800/employee/year est. cost)
Fees Fully-insured Corporations Self-insured Corporations Cantor
(Empire, Aetna, Humana, etc) Health Interactive
Brokerage Fees 2-3% $36 - $54 $24 - $36 0
Rx Admin 7-10% $126 - $180 10-15% $180 - $270* $75*
Insurance Company
Profits 8-12% $144 - $216 0 0
TOTAL FEES $306 - $450 $222 - $306 $75
*As distinguished from other pharmaceutical benefits administrators, the pharmaceutical benefits administrator for
Cantor Health Interactive is required to pass along pharmaceutical discounts and rebates to Cantor’s clients.
SAVINGS BY USING $147 - $375
Cantor Health Interactive per employee annually
Cantor Health Interactive offers stop-loss insurance at approximately 2 - 3% of the total insured cost of
coverage (in this case, $1800), or $36 – $54/per employee per year. This provides a guarantee that your
corporation cannot exceed its projected insurance costs.
Cantor Health Interactive Guarantee – If your Rx expenditures are not less than the projected fully
insured costs, Cantor Health Interactive will waive 100% of its fees.