The document discusses the Health-Wealth Certification program, which certifies individuals and organizations committed to transparency and reducing healthcare costs for employers. Those who are certified can use the initials HWC and a certification seal. The certification demonstrates excellence, integrity, and a commitment to delivering value and affordable, quality care. It also outlines some of the responsibilities and core values of those with the Health-Wealth Certification.
This document summarizes an educational session on merging and consolidating medical practices presented by HMWC CPAs and Tredway Lumsdaine & Doyle LLP. The session covered factors to consider in a merger such as leadership, funding, and assistance from legal and financial professionals. Additional topics included compensation models, employee benefits, technology systems, legal structure, and other operational considerations. The presenters also discussed sale or acquisition transactions including structuring the deal, negotiating key terms, and addressing post-sale issues that could lead to disputes.
The document discusses the strong demand for buying existing health industry businesses rather than starting new practices. It also mentions that newcomers are attracted to preferred provider dental practices, though they may not be the most profitable. The author has expressed that this trend could be detrimental to the industry. The second part provides background on Brad Potter, the principal of The Health Linc business brokers, and discusses how the company helps smoothly transition practice sales.
The Health Consultants Group is an employee benefits consulting firm that has been in business since 1994. It provides a full suite of insurance, financial, and wellness solutions to employers. The firm works closely with clients to understand their needs and provide comprehensive benefits packages and services. It aims to serve as a trusted long-term advisor to help clients navigate the changing healthcare landscape.
The document discusses key concerns that keep business owners and decision makers up at night, including financing retirement, ensuring business continuity, and attracting and retaining employees. It addresses these concerns through integrated strategies involving risk management, employee benefits, business succession planning, and personal financial planning. The goal is to help decision makers develop a comprehensive plan to protect their business and secure their own and their family's future.
5 9-2013 ss-secrets_of_successful_home_health_agenciesC Sam Smith
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This document discusses the characteristics of successful home health agencies. It identifies 7 secrets to success: 1) becoming a learning organization, 2) achieving proficiency in clinical services, 3) complying with regulations, 4) having wisdom in financial matters, 5) diversifying service models, 6) cultivating an intentional, culturally sensitive environment, and 7) employing servant leadership. The document uses examples and vignettes to illustrate how exemplary agencies have implemented these secrets.
The document discusses key concerns that keep business owners up at night, including funding retirement, succession planning, employee benefits, risk management, and personal financial needs. It outlines strategies to address these issues through an integrated approach considering the business and personal needs of the owner. The presentation provides a framework to identify goals, understand various planning options, and get expert advice tailored to the owner's unique situation.
The document discusses key concerns that keep business owners up at night, including funding retirement, succession planning, employee benefits, risk management, and personal financial needs. It outlines strategies to address these issues through an integrated approach focusing on the four critical asset classes of a business and four key financial areas. The presentation aims to help business owners identify priorities and develop plans to better manage their business and personal finances.
2013 10 utilizing member engagement to improve cahps scoresimagine.GO
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The webinar discusses utilizing member engagement to improve scores on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. CAHPS scores are an important factor in reimbursement and ratings for healthcare providers and plans. The webinar outlines how CAHPS scores are calculated and impact reimbursement. It then discusses using the modelH business model canvas to develop strategies for improving member engagement through areas like care management, prevention/wellness programs, and rewards/incentives. Focusing engagement efforts on the most impactful customer segments and issues can help providers maximize their CAHPS scores and reimbursement.
This document summarizes an educational session on merging and consolidating medical practices presented by HMWC CPAs and Tredway Lumsdaine & Doyle LLP. The session covered factors to consider in a merger such as leadership, funding, and assistance from legal and financial professionals. Additional topics included compensation models, employee benefits, technology systems, legal structure, and other operational considerations. The presenters also discussed sale or acquisition transactions including structuring the deal, negotiating key terms, and addressing post-sale issues that could lead to disputes.
The document discusses the strong demand for buying existing health industry businesses rather than starting new practices. It also mentions that newcomers are attracted to preferred provider dental practices, though they may not be the most profitable. The author has expressed that this trend could be detrimental to the industry. The second part provides background on Brad Potter, the principal of The Health Linc business brokers, and discusses how the company helps smoothly transition practice sales.
The Health Consultants Group is an employee benefits consulting firm that has been in business since 1994. It provides a full suite of insurance, financial, and wellness solutions to employers. The firm works closely with clients to understand their needs and provide comprehensive benefits packages and services. It aims to serve as a trusted long-term advisor to help clients navigate the changing healthcare landscape.
The document discusses key concerns that keep business owners and decision makers up at night, including financing retirement, ensuring business continuity, and attracting and retaining employees. It addresses these concerns through integrated strategies involving risk management, employee benefits, business succession planning, and personal financial planning. The goal is to help decision makers develop a comprehensive plan to protect their business and secure their own and their family's future.
5 9-2013 ss-secrets_of_successful_home_health_agenciesC Sam Smith
Â
This document discusses the characteristics of successful home health agencies. It identifies 7 secrets to success: 1) becoming a learning organization, 2) achieving proficiency in clinical services, 3) complying with regulations, 4) having wisdom in financial matters, 5) diversifying service models, 6) cultivating an intentional, culturally sensitive environment, and 7) employing servant leadership. The document uses examples and vignettes to illustrate how exemplary agencies have implemented these secrets.
The document discusses key concerns that keep business owners up at night, including funding retirement, succession planning, employee benefits, risk management, and personal financial needs. It outlines strategies to address these issues through an integrated approach considering the business and personal needs of the owner. The presentation provides a framework to identify goals, understand various planning options, and get expert advice tailored to the owner's unique situation.
The document discusses key concerns that keep business owners up at night, including funding retirement, succession planning, employee benefits, risk management, and personal financial needs. It outlines strategies to address these issues through an integrated approach focusing on the four critical asset classes of a business and four key financial areas. The presentation aims to help business owners identify priorities and develop plans to better manage their business and personal finances.
2013 10 utilizing member engagement to improve cahps scoresimagine.GO
Â
The webinar discusses utilizing member engagement to improve scores on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. CAHPS scores are an important factor in reimbursement and ratings for healthcare providers and plans. The webinar outlines how CAHPS scores are calculated and impact reimbursement. It then discusses using the modelH business model canvas to develop strategies for improving member engagement through areas like care management, prevention/wellness programs, and rewards/incentives. Focusing engagement efforts on the most impactful customer segments and issues can help providers maximize their CAHPS scores and reimbursement.
The document discusses key concerns that keep business owners up at night, including ensuring adequate retirement funding, protecting the business from unexpected events, attracting and retaining high-quality employees, and planning for business succession. It outlines strategies in areas like risk management, employee benefits, succession planning, and personal financial planning to help business owners address these worries. The presentation aims to help business owners prioritize goals, understand integrated planning approaches, and receive follow-up consultation.
IBS Power Point Group Benefit Presentation 2010jwalker56
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This document summarizes an employee benefits proposal from Joe Walker Insurance Benefit Solutions. It discusses their goal of understanding client needs and objectives. It also introduces their partnership with Emerson Reid, an employee benefits wholesale firm, and some of the services Emerson Reid can provide like 5500 document preparation, a legal and compliance department, and voluntary and worksite benefits.
Jennifer Ewing has over 15 years of experience in senior account management, business development, and sales roles within the healthcare and insurance industries. She has a proven track record of consistently exceeding sales goals and leading high-performing teams. Her core strengths include new business development, client relations, contract negotiations, and strategic planning.
Accountants Guide to Workers Compensation & Health BenefitsADP, LLC
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Accountants, as trusted advisors, are often called upon to help small business clients figure out their insurance needs. Few accounting firms have a licensed insurance agent available â only 8% of survey respondents were licensed or had a licensed insurance agent in the firm. Review this guide to help you understand how you can help!
Colonial Life is an industry leader that has been providing worksite benefits since 1939. It operates in all 50 US states and offers a variety of voluntary benefits products like accident, cancer, disability, and life insurance. It also provides enrollment services and benefits counseling to help employers and employees understand and get the most value from benefits offerings. Colonial Life has strong broker relationships and aims to provide high commissions and a low-hassle experience for brokers.
This document provides an overview of a telemedicine business opportunity offered by CallMDplus. The company offers access to doctors by phone for non-emergency medical issues. Key points:
- CallMDplus provides access to a network of doctors available by phone 24/7 for consultations and prescriptions.
- The company markets this service directly to individuals and businesses and also offers the opportunity to become an independent sales associate and earn commissions.
- The compensation plan includes commissions on personal sales as well as bonuses paid through multiple levels of a network marketing structure.
The document presents strategies and services from Advanced Benefit Design Institute for reducing employer healthcare costs. It promotes replacing traditional insurance with self-insured plans that refund unused claim funds to employers. The company also offers population health management tools, wellness programs, and consulting services to help lower costs through improved employee health and reduced medical spending. Contact information is provided at the end.
This document provides an overview of a telemedicine business opportunity offered by CallMDplus. It discusses the costs and benefits of the CallMDplus services for customers, including access to doctors by phone for medical issues anytime. It also outlines a dual commission structure for associates, including residual commissions from retail sales and bonuses for building an agency team and enrolling other associates. Key points emphasized are the large potential market for telemedicine, a proven business model, and multiple ways to earn income.
Why You Should Partner With Colonial Lifedonnadwyer
Â
This document summarizes how brokers can partner with Colonial Life to provide benefits counseling services to employers and their employees. It outlines how this differentiated service approach can help employees better understand and appreciate their benefits while saving employers money through lower payroll taxes and premiums. Specific voluntary benefits like life insurance, disability insurance, and cancer coverage are highlighted.
ABA provides customized benefits solutions and administration services to companies to help them reduce costs and streamline HR functions. By partnering with ABA, clients can outsource benefits management to focus on their core business while ABA handles tasks like building benefits packages, monitoring legislation, and addressing employee issues. ABA representatives meet with clients regularly and provide an employee call center and online portal for assistance. For self-funded clients, ABA has consolidated plans, increased discounts and savings, and implemented wellness programs. For fully-insured clients, ABA has negotiated substantial savings on renewals without changing benefits. ABA delivers cost savings and service solutions for both self-funded and fully-insured clients.
101 good reasons why independent insurance brokers NEED to recognise that it the insurance landscape is changing beyond all recognition and not just because of the economic climate and rising market...
This newsletter summarizes topics related to the growing demand for case management professionals and how MedPartners is addressing this need. Specifically, it discusses:
1) The rising demand for qualified case managers due to healthcare reforms focusing on quality and cost-efficiency. MedPartners recruits and trains case managers to fill these roles.
2) How patient care programs implemented by case managers can improve quality of care and reduce costs for hospitals by better coordinating care.
3) MedPartners' presence and opportunities identified at the recent ACMA conference in Florida.
Here's an assignment for Brad Feld and Jason Mendelson's Venture Deals class on NovoEd. The goal was to come up with a company, describe it in brief, and explain a strategy for going after 3 target VC firms.
The document discusses the importance of medical revenue cycle management (RCM) for physician practices. It outlines key factors that affect practice revenue, including proper billing/coding, credentialing, preauthorizations, and accounts receivable (A/R) management. The document uses an example to show that while a lower RCM fee may seem better, a service that improves reimbursements by 5% and charges a slightly higher fee of 5.75% can provide greater overall revenue to the practice. Effective RCM requires ongoing attention to timely claim filing, proper use of modifiers, credentialing updates, eligibility verification, and A/R monitoring through metrics like payment rates and days in A/R. Outsourcing RCM to an experienced
This document provides advice to employers on reviewing the services provided by their pension advisers. It recommends employers evaluate their pension scheme goals, resources, support needs, current services, and value for money. Key areas to assess include whether the scheme aligns with business objectives, the time and expertise required to run it internally, support for employees, clarity on included services, and measurements of engagement and cost effectiveness. The review is important given recent regulatory changes requiring advisers to charge fees instead of commissions to avoid conflicts of interest.
Research team from MicroSave and ASKI conducted 24 FGDs with both urban and rural microfinance clients in the Philippines to measure the importance and relevance of client protection principles. Clients were also asked to rate ASKI on its adherence to each of the 7 CPPs. The key findings were- clients affirmed the importance of all seven CPPs. 'Fair and Respectful Treatment of the Clients' and 'Appropriate Product Design and Delivery' are the two most valued CPPs. ASKI was highly rated by clients on its adherence to CPPs with a high score of 2.91 on a 3.0 point rating scale.
Physician Contracting 101 - this seminar will provide physicians with a baseline concept of the anatomy of a physician contract. Basics of negotiation and contracting for the physician professional are discussed herein
USI New England is an insurance brokerage that offers expertise in health and welfare benefits through a team of local professionals supported by national resources. They serve over 60,000 commercial clients nationally and place over $2 billion in premium annually. USI aims to provide comprehensive insurance programs at the lowest rates while delivering high levels of service. Their capabilities include strategic consulting, account management, compliance, communications, and wellness programs.
Business Benefits provides comprehensive employee benefits services including designing insurance plans, negotiating rates, assisting with claims, and promoting wellness programs. They work with over 800 clients in the Cincinnati/Northern Kentucky region and have longstanding relationships with major carriers. Their experienced staff handles administrative tasks so clients can focus on their business. Business Benefits aims to offer superior service and bring the best benefit options to their clients.
Premier Medical Appeals seeks to partner with healthcare providers to safeguard their revenue by handling appeals of denied medical claims. PMA has an experienced clinical team that can navigate complex payer requirements to obtain reimbursement. Their expertise is in developing persuasive appeal responses addressing different types of denials. PMA aims to deliver prompt appeals with the highest overturn rate in the industry to promote sustainable financial health for their clients.
Premier Medical Appeals seeks to partner with healthcare providers to safeguard their revenue by handling appeals of denied medical claims. PMA has an experienced clinical team that can navigate complex payer requirements to obtain reimbursement. Their expertise is in developing persuasive appeal responses addressing different types of denials. PMA aims to deliver prompt appeals with the highest overturn rate in the industry to promote sustainable financial health for their clients.
The document discusses key concerns that keep business owners up at night, including ensuring adequate retirement funding, protecting the business from unexpected events, attracting and retaining high-quality employees, and planning for business succession. It outlines strategies in areas like risk management, employee benefits, succession planning, and personal financial planning to help business owners address these worries. The presentation aims to help business owners prioritize goals, understand integrated planning approaches, and receive follow-up consultation.
IBS Power Point Group Benefit Presentation 2010jwalker56
Â
This document summarizes an employee benefits proposal from Joe Walker Insurance Benefit Solutions. It discusses their goal of understanding client needs and objectives. It also introduces their partnership with Emerson Reid, an employee benefits wholesale firm, and some of the services Emerson Reid can provide like 5500 document preparation, a legal and compliance department, and voluntary and worksite benefits.
Jennifer Ewing has over 15 years of experience in senior account management, business development, and sales roles within the healthcare and insurance industries. She has a proven track record of consistently exceeding sales goals and leading high-performing teams. Her core strengths include new business development, client relations, contract negotiations, and strategic planning.
Accountants Guide to Workers Compensation & Health BenefitsADP, LLC
Â
Accountants, as trusted advisors, are often called upon to help small business clients figure out their insurance needs. Few accounting firms have a licensed insurance agent available â only 8% of survey respondents were licensed or had a licensed insurance agent in the firm. Review this guide to help you understand how you can help!
Colonial Life is an industry leader that has been providing worksite benefits since 1939. It operates in all 50 US states and offers a variety of voluntary benefits products like accident, cancer, disability, and life insurance. It also provides enrollment services and benefits counseling to help employers and employees understand and get the most value from benefits offerings. Colonial Life has strong broker relationships and aims to provide high commissions and a low-hassle experience for brokers.
This document provides an overview of a telemedicine business opportunity offered by CallMDplus. The company offers access to doctors by phone for non-emergency medical issues. Key points:
- CallMDplus provides access to a network of doctors available by phone 24/7 for consultations and prescriptions.
- The company markets this service directly to individuals and businesses and also offers the opportunity to become an independent sales associate and earn commissions.
- The compensation plan includes commissions on personal sales as well as bonuses paid through multiple levels of a network marketing structure.
The document presents strategies and services from Advanced Benefit Design Institute for reducing employer healthcare costs. It promotes replacing traditional insurance with self-insured plans that refund unused claim funds to employers. The company also offers population health management tools, wellness programs, and consulting services to help lower costs through improved employee health and reduced medical spending. Contact information is provided at the end.
This document provides an overview of a telemedicine business opportunity offered by CallMDplus. It discusses the costs and benefits of the CallMDplus services for customers, including access to doctors by phone for medical issues anytime. It also outlines a dual commission structure for associates, including residual commissions from retail sales and bonuses for building an agency team and enrolling other associates. Key points emphasized are the large potential market for telemedicine, a proven business model, and multiple ways to earn income.
Why You Should Partner With Colonial Lifedonnadwyer
Â
This document summarizes how brokers can partner with Colonial Life to provide benefits counseling services to employers and their employees. It outlines how this differentiated service approach can help employees better understand and appreciate their benefits while saving employers money through lower payroll taxes and premiums. Specific voluntary benefits like life insurance, disability insurance, and cancer coverage are highlighted.
ABA provides customized benefits solutions and administration services to companies to help them reduce costs and streamline HR functions. By partnering with ABA, clients can outsource benefits management to focus on their core business while ABA handles tasks like building benefits packages, monitoring legislation, and addressing employee issues. ABA representatives meet with clients regularly and provide an employee call center and online portal for assistance. For self-funded clients, ABA has consolidated plans, increased discounts and savings, and implemented wellness programs. For fully-insured clients, ABA has negotiated substantial savings on renewals without changing benefits. ABA delivers cost savings and service solutions for both self-funded and fully-insured clients.
101 good reasons why independent insurance brokers NEED to recognise that it the insurance landscape is changing beyond all recognition and not just because of the economic climate and rising market...
This newsletter summarizes topics related to the growing demand for case management professionals and how MedPartners is addressing this need. Specifically, it discusses:
1) The rising demand for qualified case managers due to healthcare reforms focusing on quality and cost-efficiency. MedPartners recruits and trains case managers to fill these roles.
2) How patient care programs implemented by case managers can improve quality of care and reduce costs for hospitals by better coordinating care.
3) MedPartners' presence and opportunities identified at the recent ACMA conference in Florida.
Here's an assignment for Brad Feld and Jason Mendelson's Venture Deals class on NovoEd. The goal was to come up with a company, describe it in brief, and explain a strategy for going after 3 target VC firms.
The document discusses the importance of medical revenue cycle management (RCM) for physician practices. It outlines key factors that affect practice revenue, including proper billing/coding, credentialing, preauthorizations, and accounts receivable (A/R) management. The document uses an example to show that while a lower RCM fee may seem better, a service that improves reimbursements by 5% and charges a slightly higher fee of 5.75% can provide greater overall revenue to the practice. Effective RCM requires ongoing attention to timely claim filing, proper use of modifiers, credentialing updates, eligibility verification, and A/R monitoring through metrics like payment rates and days in A/R. Outsourcing RCM to an experienced
This document provides advice to employers on reviewing the services provided by their pension advisers. It recommends employers evaluate their pension scheme goals, resources, support needs, current services, and value for money. Key areas to assess include whether the scheme aligns with business objectives, the time and expertise required to run it internally, support for employees, clarity on included services, and measurements of engagement and cost effectiveness. The review is important given recent regulatory changes requiring advisers to charge fees instead of commissions to avoid conflicts of interest.
Research team from MicroSave and ASKI conducted 24 FGDs with both urban and rural microfinance clients in the Philippines to measure the importance and relevance of client protection principles. Clients were also asked to rate ASKI on its adherence to each of the 7 CPPs. The key findings were- clients affirmed the importance of all seven CPPs. 'Fair and Respectful Treatment of the Clients' and 'Appropriate Product Design and Delivery' are the two most valued CPPs. ASKI was highly rated by clients on its adherence to CPPs with a high score of 2.91 on a 3.0 point rating scale.
Physician Contracting 101 - this seminar will provide physicians with a baseline concept of the anatomy of a physician contract. Basics of negotiation and contracting for the physician professional are discussed herein
USI New England is an insurance brokerage that offers expertise in health and welfare benefits through a team of local professionals supported by national resources. They serve over 60,000 commercial clients nationally and place over $2 billion in premium annually. USI aims to provide comprehensive insurance programs at the lowest rates while delivering high levels of service. Their capabilities include strategic consulting, account management, compliance, communications, and wellness programs.
Business Benefits provides comprehensive employee benefits services including designing insurance plans, negotiating rates, assisting with claims, and promoting wellness programs. They work with over 800 clients in the Cincinnati/Northern Kentucky region and have longstanding relationships with major carriers. Their experienced staff handles administrative tasks so clients can focus on their business. Business Benefits aims to offer superior service and bring the best benefit options to their clients.
Premier Medical Appeals seeks to partner with healthcare providers to safeguard their revenue by handling appeals of denied medical claims. PMA has an experienced clinical team that can navigate complex payer requirements to obtain reimbursement. Their expertise is in developing persuasive appeal responses addressing different types of denials. PMA aims to deliver prompt appeals with the highest overturn rate in the industry to promote sustainable financial health for their clients.
Premier Medical Appeals seeks to partner with healthcare providers to safeguard their revenue by handling appeals of denied medical claims. PMA has an experienced clinical team that can navigate complex payer requirements to obtain reimbursement. Their expertise is in developing persuasive appeal responses addressing different types of denials. PMA aims to deliver prompt appeals with the highest overturn rate in the industry to promote sustainable financial health for their clients.
What Is Provider Credentialing In Healthcare.pptxRichard Smith
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Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients.
What Is Provider Credentialing In Healthcare.pdfRichard Smith
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Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients.
What Is Provider Credentialing In Healthcare.pptxRichard Smith
Â
Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients.
What Is Provider Credentialing In Healthcare.pdfRichard Smith
Â
Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients. This process typically involves a thorough review of the providerâs education, training, licensure, certification, work history, and other relevant information to ensure they meet the standards and requirements set forth by regulatory bodies, healthcare organizations, and insurance companies.
This document provides information about Meritus health insurance plans and services for brokers. It begins with an introduction to Meritus, describing it as a non-profit health insurance cooperative focused on improving healthcare for Arizonans. It discusses Meritus' provider networks, including its PPO network partnership with Arizona Foundation for Medical Care and built HMO network. The document provides details on Meritus' plans, benefits, rules, and resources available to brokers. It aims to educate brokers to help Arizonans obtain quality, affordable healthcare through Meritus plans.
The Ultimate Guide to Choosing the Right Medical Billing Agency.pdfmedquikhelathsolutio
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In the ever-complex healthcare landscape, navigating the world of medical billing can be a daunting task. Reimbursement rates are constantly changing, insurance regulations are intricate, and ensuring accurate claim submissions is paramount for financial stability.
đ Incredible News! đLooking for top-notch medical credentialing services at an unbeatable cost? Look no further! Instapay Healthcare Services has got you covered. đĨđŧ
đ Why choose Instapay Healthcare Services for your credentialing needs? Here's why:
đ Unmatched Expertise: Our team of seasoned professionals possesses extensive knowledge and experience in the medical credentialing field. Rest assured, your credentials are in safe hands. â
đ° Unbeatable Cost: We understand the financial challenges faced by healthcare professionals. Thatâs why we offer our top-notch credentialing services at unbeatable prices. Get the value you deserve without breaking the bank. đ¸
âąī¸ Time-Efficient Solutions: We know how crucial time management is in the medical industry. Our streamlined processes and efficient workflows ensure a hassle-free experience, allowing you to focus on what matters most â patient care. â°
The document discusses Beneficial Associates, Inc. (BAI), a provider of employee benefit solutions. BAI has over 20 years of experience working with the Virginia Health Care Association to provide innovative solutions to their members. BAI can customize benefit programs, technology, and wellness solutions to help employers attract and retain quality staff while controlling costs. BAI also ensures compliance with regulations and aims to simplify benefit administration through technology and support services.
Quality - A question of trust ( world Quality Day)Naz Usmani
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The document discusses building trust through quality in healthcare. It states that quality is intertwined with trust, which patients value. The role of quality professionals is to help organizations understand customer expectations, align values and culture, identify risks to trust and reputation, and reduce waste. Trust is built on human behavior and interactions through a just culture that balances accountability and blame. Understanding patient needs and maximizing value while reducing costs also builds trust. Maintaining good quality has long-term benefits and outweighs the high costs of poor quality outcomes. The overarching theme is that quality leads to trust, which is important in healthcare.
The document discusses establishing a partnership between an external expertise firm and clients' organizations to provide health and wellness benefits. It notes that the partnership can enhance clients' propositions, help retain existing clients and recruit new ones, establish an additional revenue stream, and avoid in-house costs and risks. The partnership process involves an initial discussion, agreeing on coverage areas, signing an agreement, client referrals, policy issuance, and commission payments with reports. Joint promotion opportunities include proactive client outreach, web content links, and various marketing activities. Proven success factors include proactivity, formalizing the proposition, and reassurance through client endorsements.
Looking for reliable medical billing and insurance credentialing services? Look no further! Our team of experts specializes in providing excellent and efficient services to healthcare providers. Trust us with your credentialing needs and focus on what you do best - providing excellent healthcare,..
The Willis Advantage is a private exchange platform that combines consulting expertise to help clients create a benefits strategy that establishes a fixed budget, meets employee needs, and promotes healthy behavior. It gives employers cost control through a defined contribution approach and more options for employees. The platform analyzes individual preferences and recommends customized benefits solutions using decision support tools. It also engages employees to become better healthcare consumers through exchange programs and innovative health management.
Mental Health Billing And Credentialing Services For Solo Practitioners.pptxRichard Smith
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Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Mental Health Billing And Credentialing Services For Solo Practitioners.pdfRichard Smith
Â
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
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.
Jeff Marks discusses strategies for medical brokers to consider as health care reform is implemented. He believes brokers will need to expand their offerings beyond traditional insurance to include ancillary products that provide added value. Specifically, he recommends telemedicine services that allow clients 24/7 access to doctors by phone for diagnosis and treatment. Telemedicine could reduce costs for employers and employees while increasing productivity. Marks also suggests other non-insurance products like discount programs and lifestyle benefits that pay brokers commissions. To prepare, brokers should develop new business models incorporating these innovative ancillary options to differentiate themselves and generate additional revenue streams.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
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Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
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Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
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"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analyticsâ feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
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In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
2. A Brief History of Health-Wealth
Health-Wealth is part of NRPC, Inc., a California not-for-profit entity and was created to advocate for
reducing the cost of healthcare for American businesses, families and individuals. Core values of the
Health-Wealth mission include pricing transparency, industry integrity, enhanced access to care and
services and a commitment to quality care.
Those who become Health-Wealth Certified are entitled to use the initials HWC after their name and
also include the Certification seal on corporate materials.
The Health-Wealth Certification is the symbol of excellence in the health benefits industry. Becoming
an HWC makes you an industry leader in your commitment to delivering value.
3. Industry Excellence
The Health-Wealth Certification and Seal are the symbol of excellence
in service delivery, integrity, value and transparency in the health
benefits industry. The Certification is sponsored by the not-for-profit,
Health-Wealth.
Add seal here
4. The Health-Wealth Certification (HWC)
The Health-Wealth Certification distinction is earned by individuals and organizations committed
to transparency in reducing healthcare spending for organizations contracting for health
insurance. Many HWCâs are benefits brokers or advisers, but also those who oversee benefits
internally for corporations including human resources, financial (CFO, Controller) or benefits
executives as well as individuals responsible for advising on or purchasing healthcare benefits.
The client who is the plan sponsor is the top priority, the only priority and the commitment is to
deliver them a plan with affordable rates and access to quality providers.
Why Become Certified?
5. Distinguishing Yourself as an HWC
The client who is the plan sponsor is the top priority, the only priority and the commitment is to
deliver them a plan with affordable rates and access to quality providers. These professionals
desire to distinguish themselves as committed to:
- Always ensuring the client is the top priority
- Provide complete pricing transparency
- Illustrate their unwillingness to compromise ethics and their integrity in the process
6. Why become an HWCIA?
One of the most important tasks any business has when looking to reduce expenses significantly
is selecting a broker, benefits advisor, attorney or consultant who will identify the most
appropriate health plan that brings value to your employees and at the same time reduce
corporate healthcare spending. Its no longer enough to lose the broker moniker and refer to
yourself as a benefits advisor, the gig is up on that trick as well.
Corporations truly committed to finding real solutions that bring value to their employees and
reduce wasteful spending are seeking and adviser at the top pf the class. The Health-Wealth
Certified Independent Advisor distinction is the most effective way to illustrate this experience,
expertise, integrity and transparency
7. HWC Core Values
Core Values of a HWC:
- Transparency
- Quality outcomes and offerings
- Data driven
- Provide multiple offerings to clients
- 100% aligned with client
- Value added
- Active voice in the health benefits transparency community
8. Health-Wealth Basics
Some top priorities for HWC experts are integrity, transparency, value and quality in all dealings.
The primary goal of a corporate healthcare benefits transaction is that the company contracting
for healthcare benefits gets the best possible value and return on investment for its employees.
Getting the transaction done quickly should never be the top priority. Ensuring the company
contracting for benefits is getting maximum value and the best benefit package possible is the
top priority.
It is important for a benefits advisor to understand the unique characteristics and needs of a
companyâs workforce before considering options.
9. Health-Wealth Concepts
Transparent and timely responses to all client inquiries and questions is a requirement for all HWCâs.
Anytime a benefits advisor is approached by a carrier, pharmaceutical company, consultant or client
and offered a business opportunity that could influence an existing clients service plan or delivery, the
benefits advisor should disclose and discuss the opportunity with the client prior to entering any
agreement.
HWC adviser should do significant research on behalf of the contracting company and present
multiple options that would best meet the needs of the employees and organization.
The HWC adviser has a responsibility to confirm and challenge any charges that appear to be
inaccurate, inappropriate or inflated.
10. Health-Wealth Disclosures
HWC adviser should disclose to clients each of the following types of income in advance of the
agreement being signed, as well as annually:
âĻ Commissions
âĻ Bonuses
âĻ Rebates
âĻ All profits of any kind earned as a result of the transaction throughout the term of the agreement.
The HWC adviser should disclose in advance and annually all Conflicts of Interest of what type:
âĻ Relationships
âĻ Financial opportunity
âĻ Vendors, Carriers & Consultants
11. President Trump Addresses Health-Wealth
In the 2019 State of the Union address, President Donald Trump outlined Healthcare
affordability
as his administrationâs top priority for 2019?
In the 2019 State of the Union address, President Trump specifically referenced the following
industries when discussing the importance of pricing transparency and reducing overall cost of
healthcare for Americans:
- Pharmaceutical industry
- Hospitals
12. More Health-Wealth
One of the benefits of both Direct Primary Care and telehealth consults with physicians and nurse
practicioners is the aligned incentive between provider and payer to eliminate unnecessary testing and
procedures including lab tests, imaging and specialist referrals.
To best address claims adjudication, service delivery and quality assurance, the benefits advisor should provide
the client with the following types of data:
âĻ Claims data
âĻ Provider quality reports
âĻ Pharmaceutical pricing and alternative or generic options
âĻ All data that is accessible that could benefit the client and is within the law
13. Reporting & CBSâs 60 Minutes
The HWC adviser should provide reports and recommendations to clients in both quantitative
and qualitative form on a regular basis, including:
âĻ Monthly
âĻ Quarterly
âĻ Annually
In 2018, CBS television produced a segment on its popular news show 60 Minutes focusing on
Pharmacy Benefit Managers, exposing several facts that were n ot well known to businesses and
the general public including:
âĻ The misaligned incentives and compensations structures of PBMâs that do not always benefit the
company contracting for benefits
âĻ The fact that these commissions were not always disclosed to the company contracting for benefits
14. HWC Responsibilities
An HWC adviser should ensure that a thorough review of all charges is completed on:
âĻ An agreed upon set of claims
âĻ Any claim in excess of $5,000
A primary reason it is necessary for benefits advisors to distinguish themselves as Health-Wealth
Certified advisers is because many brokers:
âĻ Have been compromised buy complicated, discrete, often undisclosed payment and reimbursement
arrangements
âĻ Have limited the plan options they present to clients to only those with high broker compensation
âĻ Have put personal interests and profitability as a higher priority than securing the best return for clients
15. When to Seek out HWCâs
Some of the best ways to showcase your HWC and distinguish yourself as an ethical advisor acting
with integrity and committing to keeping the companyâs needs first are:
âĻ Attending broker conferences
âĻ Changing your title from broker to benefits advisor
âĻ Displaying the seal and certificate prominently
Corporations seeking health plan options that best meet the needs of their workforce should start by:
âĻ Making sure their benefits team and external adviser are all Health-Wealth Certified advisors
âĻ Complete the Health-Wealth Interactive team activity
âĻ Visit www.Health-Wealth.com to review a list of individuals who have completed the exam, and are
designated as Health-Wealth Certified Independent Advisors
16. Integrity, Transparency, Value & ROI
Some primary objectives when strategizing a plan for a company include:
âĻ Improved health outcomes at a lower cost
âĻ Designing a strategy that is scalable
âĻ The strategy be effective over the long term
Although there are many brokers and benefits advisors who do demonstrate integrity and transparency,
one leading national organization that champions transparency, return on investment and value for he
contracting company is The Health Rosetta.
The HWC Advisor should attend industry events, stay up to date on current events and seek out continued
education on benefits and corporate offerings.
17. Seeking Maximum Value
Companies seeking maximum value for their employees and company in regard to their health
benefit offerings should:
âĻ Require price transparency from contracted providers
âĻ Audit medical bills
âĻ Ensure their benefits team are all HWCâs and complete the Health-Wealth Corporate Team Interactive
âĻ Commit to only work with benefits advisers, PBMâs, TPAâs and others who are Health-Wealth Certified
Is it appropriate for physicians, corporate benefits advisers and brokers to educate amid advise
individual employees and patients of pertinent health and benefit related information.
âĻ One example of this would be sharing that the radiation in a CT Scan can be 100 times stronger than the
radiation in an X-ray
18. The Health Value Equation
Each of the following are considered key components of
the health value equation:
âĻManagement of appropriateness and cost of medications
âĻPre-screening procedures and criteria for elective
procedures
âĻPrimary care physicians with patient focused financial
incentives
19. What About Accountable Care Organizations?
ACOâs are coordinated care models in which the providers receives a flat sum per patient each
month to cover all of the patients care needs.
Much like Medicare Advantage, the payer aggressively manages the patients care plan to ensure
only necessary services are provided to ensure that over-spending on necessary care and tests is
avoided.
Most ACOâs utilize a team of a Medical Director(s) and Utilization Review nurses, Case Managers,
Care Managers, or Navigators to manage high risk patients after hospitalization. Much of this is
done electronically or on the phone, but often times they visit the patient in person as well.
20. HWC Advisor Pledge
The final step needed to become an HWC upon completion of the exam is committing to the
following pledge:
I commit to and have demonstrated that integrity, transparency, value and quality are my
priorities in securing health benefits. My goals are 100% aligned with and based on the
corporate client getting maximum value, return on investment and quality on health benefits
and offerings. I commit to be transparent in all actions, communicate proactively and to disclose
all profits and conflicts of interest in a proactive and timely manner.
21. HWC Advisor Benefits
Once Complete, You Have Access to the Following Benefits:
- HW Certification Seal of Excellence (websites, email signature, business cards, etc.)
- HWC Certificate
- Add the HWC initials after your name on your business card and email signature!
- Listing on Health-Wealth.com HW page
- 50% off all products on Health-Weallth.com and all Health-Wealth Events
- Podcast guest on the Healthcare Authority Podcast
- Social Media recognition on LinkedIn or Twitter
22. HWC Advisor Value Added Next Steps
To assist in generating momentum for the Health-Wealth movement and thus the recognition
of your HWC, we ask that once you Complete certificate you:
- Add the HWC designation after our name as your new title!
- Join the Health-Wealth LinkedIn group and be an active member
- Tune into the Podcast: Dr. Lukeâs Waiting Room, The Healthcare Authority Podcast
- Read and do a book review on Amazon:
âĻ Health-Wealth: Is healthcare bankrupting your business? 9 steps to financial recovery
âĻ Health-Wealth for You, 11 Steps to Save Big & Live Healthy
23. Additional Resources
For further details on healthcare transparency initiatives, you can visit any of the following
websites:
https://health-wealth.com/
https://brokenhealthcare.org/
https://healthrosetta.org/plan-sponsor-bill-of-rights/
https://employerbillofrights.com/