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Health Advocate, Inc., Holds Webinar to Introduce Provider-Centered Analytics

Plymouth Meeting, PA (PRWEB) July 25, 2014

Health Advocate, Inc., the nations leading healthcare advocacy and assistance company and a subsidiary of West Corporation, is introducing its newest solution in an upcoming webinar called Leveraging Provider-Centered Analytics: Reduce Costs and Enhance Quality.

The webinar will be held twice on Tuesday, July 29 at 11 AM ET and again at 2 PM ET. For more information or to register for the webinar, please visit http://www.HealthAdvocate.com/Analytics or call 866.799.2655.

In an environment of escalating healthcare costs, health systems, accountable care organizations, insurance carriers and employee benefits organizations are looking for ways to improve the quality of care while reducing costs.

This webinar will highlight a new, tailored approach to managing physician performance through the measurement of quality and efficiency, enabling organizations to use their medical and claims data to identify top performers within provider populations.

The featured speakers include Abbie Leibowitz, M.D., Executive Vice President and Chief Medical Officer, Health Advocate; Antonio Legorreta, M.D., MPH, President, engage2Health; and Kayla Coutts, Associate Consultant, engage2Health. Drs. Leibowitz and Legorreta and Ms. Coutts will explain how powerful data analytics are being used to drive behavior change, reduce deficits in care, and maximize savings. Key points to be covered include:


Overview of the solutions methodology and scoring
Demonstration of a quality and cost of care analysis based on real data
Discussion of how incentives can improve quality of care
Understanding preventive and recommended care; quality metrics

By using this data-driven approach, healthcare entities like health systems and insurance companies can drive patients to providers who are effectively improving the quality of care while simultaneously reducing costs, said Dr. Legorreta.

When combined with resources like pricing transparency tools, this information empowers consumers, helping them better understand their choices in order to make well-informed healthcare decisions, said Dr. Leibowitz.

About the Speakers

Abbie Leibowitz, M.D., F.A.A.P., is a nationally recognized leader in the healthcare industry and an authority on managed care, clinical management, quality assurance, and medical data and information systems.

Antonio Legorreta, M.D., MPH, is a renowned clinical researcher and health informatics authority. His work has contributed significantly to the development of real-world outcomes research, quality of care metrics and other cost-effective analysis.

Kayla Coutts has extensive experience in data analytics within the healthcare and pharmaceutical industries, with a primary focus on physician quality and efficiency performance.

About Health Advocate

Health Advocate, Inc., a subsidiary of West Corporation, is the nations leading healthcare advocacy and assistance company, serving more than 10,000 clients, including many of the nations largest companies.

Health Advocates award-winning Health Advocacy program helps members navigate complex healthcare and insurance-related issues, saving them both time and money. We also offer a suite of complementary solutions, including Wellness Coaching, EAP+Work/Life and Chronic Care Solutions, among others. Our fully integrated program EmpoweredHealth seamlessly combines our services into a single, convenient solution, helping members efficiently maximize their benefits.

We also leverage the power of pricing transparency, personalized health communications and more to help members make more informed decisions and get more value out of the healthcare system. All supported by a powerful data analytics engine delivering improved health and financial results.

For more information, visit us at http://www.HealthAdvocate.com.







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Cameron McGill – American Health Insurance


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Elizabeth Warren – The Role of Health Care Providers in Advance Care Planning

From Aging.Senate.Gov. May 21, 2014. United States Senate Committee on Aging. The Role of Health Care Providers in Advance Care Planning. Moderator: Jennie C…
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Experient Health Highlights Consequences of Reimbursing Individual Insurance Premiums for Employees in Latest Blog Post

Richmond, Va. (PRWEB) July 15, 2014

Experient Health took on the Internal Revenue Service’s (IRS) most recently issued FAQs regarding the consequences for employers that do not establish a health insurance plan for their employee in latest Blog post. This includes premiums for individual health insurance, either inside or outside of the exchange.

Experient Health, a Virginia Farm Bureau company, uses its Blog to help educate the community about changes in health insurance under the Affordable Care Act (ACA).

In Revenue Ruling 61-146, the IRS provided that if an employer reimburses an employees premiums for non-employer-sponsored health insurance, the payments are excluded from the employees gross income,” Experient Health wrote. “This allowed an employer to pay an employees premiums for individual health coverage without the employee paying tax on the amount.”

Issued on Sept. 13, 2013, IRS Notice 2013-54 states that these employer payment plans are considered to be group health plans subject to the ACAs rules, including the annual limit prohibition and the preventive care coverage requirement.

The Notice clarifies that these employer payment plans cannot be combined with individual health insurance policies, and thus fail to satisfy the ACAs market reforms,” Experient Health wrote. “As a result, effective for 2014 plan years, these plans are essentially prohibited.

And there are consequences for employers if they do not act in accordance with these requirements.

Because employer payment plans do not comply with the ACA, the IRS has indicated that these arrangements may be subject to an excise tax of $ 100 per day for each applicable employee ($ 36,500 per year per employee). However, premium reimbursement arrangements made on an after-tax basis are allowed, according to Experient Health.

“Employers that plan on using after-tax premium reimbursement arrangements should be aware that these arrangements may be considered employee benefit plans subject to ERISAs requirements.”

To read more about the consequences of reimbursing individual insurance premiums for employees, visit the Experient Health Blog here.







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- Vaccines: A Health Insurance of the 21st Century


– Vaccines: A Health Insurance of the 21st Century

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Together Health Network Board Members and Interim CEO Named


Detroit, MI (PRWEB) July 07, 2014

Together Health Network, the clinically integrated network formed in May as a collaboration between Ascension Health Michigan and CHE Trinity Health Michigan and physician partners across the state, has named its first Board of Managers and an interim CEO.

Rick O’Connell, president of Trinity Health Division and executive vice president of CHE Trinity Health, has been appointed Chairman of the Board of Managers. OConnell, along with Patricia Maryland, Dr.PH, president of Health Care Operations and Chief Operating Officer of Ascension Health served as co-chairs of the steering committee that conceived and planned the new organization.

Scott Eathorne, MD, one of the key physicians who led planning of the new network, will serve as interim CEO of Together Health Network. He will take a leave of absence from his role as President of Partners in Care, a physician hospital organization representing the partnership between The Physician Alliance and its 2100 physicians, and the St. John Providence Health System.

Together Health decided to fill the CEO position on an interim basis immediately, since the newly-formed organization is already being contacted by payers and potential partners. A full-time leader is needed to ensure the business plans move forward.

“Dr. Eathornes acceptance of the interim CEO position ensures that we are starting Together Health Network with the right leader who will guide us in the right direction, said OConnell. Scott was on our steering committee since the inception of this collaboration, and brought not only the physician perspective to the table, but essential expertise in population health management.”

Dr. Eathornes experience as the founding President and CEO of Partners in Care will be a considerable asset in quickly growing Together Health Network infrastructure, capabilities and business partners. This is an exciting time to be defining the new normal in delivering health care, to be in a position to help people manage a lifetime of health and well-being, says Dr. Eathorne. Our provider network is committed to delivering high value health care, to promoting wellness within our communities, and to managing the health of Michiganders on a broad scale.

Dr. Eathorne is a family and athletic medicine physician who has served as the President and CEO of St John Providence Partners in Care since its inception in 2011. He was instrumental in the development of The Physician Alliance, consisting of 2100 multispecialty physicians, which partnered with St John Providence Health System to form Partners in Care. Prior to that, he served as the Medical Director for the Providence Medical Group. He has been actively involved in healthcare transformation, as a clinician and physician leader, focusing on the Patient Centered Medical Home model, successful integration of enabling technologies and development of care management services in an effort to improve population health.

One of the key tenets in creation of Together Health Network was the decision to have a physician-majority board, physician CEO and physician led committees. The 15-member board will include nine physicians, four health system executives and two community members. The inaugural Board of Managers will consist of:


Dottie Deremo, RN, Principal Partner, The Deremo Group and Executive Emeritus, Hospice of Michigan
Dr. Eathorne, who serves on the board in his capacity as interim CEO
James Fox, MD, emergency medicine, Vice President, Emergency Medicine Specialists, PC and on staff at St. John Providence Health System
Michael Gusho, CFO, Saint Joseph Mercy Health System
Gwen MacKenzie, Senior Vice President, Ascension Health and Michigan Market Leader
Imad Mansoor, MD, internal medicine, Chief Medical Officer of Oakland Physician Network Services, Inc. and on staff at Saint Joseph Mercy Oakland Hospital
Patrick McGuire, CFO, Ascension Michigan and Executive Vice President, St. John Providence Health System
Rick OConnell, president of Trinity Health Division and executive vice president of CHE Trinity Health and Chairman of the Together Health Network Board
Dennis Ramus, MD, family medicine, Bay Area Family Physicians, PC and on staff at St. John Providence Health System
Sridhar Rao, MD, family medicine, Genesys Integrated Group Practice and on staff at Genesys Regional Medical Center
David Steinberger, MD, internal medicine, Infinity Primary Care and Associate Program Director for the Internal Medicine Residency at St. Mary Mercy Livonia
Paul Valenstein, MD, clinical pathologist, IHA and President of the Saint Joseph Mercy Health Partners Clinically Integrated Network
David Van Winkle, MD, family medicine, Medical Director, Lakeshore Health Network and West Michigan Regional Clinically Integrated Network and on staff at Mercy Health
Stacey Watson, MD, internal medicine, Vice President Clinical Practice and Integration at Borgess Health
Howard Zuckerman, Ph.D, Professor (retired), Department of Health Services, School of Public Health and Community Medicine, University of Washington
Additional information about each Board member can be found on Together Health Networks website: http://www.togetherhealthnetwork.org/leadership.html

Together Heath Network has a state-wide geographic presence including 27 hospitals and thousands of ambulatory centers and physician offices. The network will improve access, cost and quality of care for communities throughout Michigan by working with payers to develop a wide range of health plan products, including those purchased on the Health Insurance Marketplace and private exchanges. It is estimated that 75% of Michiganders will be within 20 minutes of a Together Health Network provider.

Formation of the network was spurred by changes in health care delivery to a new approach that focuses not solely on episodic care but rather a coordinated continuum of value-based services that keep populations healthy.

Both Ascension and CHE Trinity Health are considered leaders in the state in performing at benchmark levels in terms of quality, while at the same time delivering care at cost levels well below the state average. This collaboration allows the two entities and physician partners to combine their track records of high performance in terms of cost and quality into one, state-wide product unlike any other.

About Together Health Network

Together Health Network fills a consumer need across Michigan for trusted and complete healthcare that is person-focused, physician led, and powered by the Michigan-based health systems of Ascension Health and CHE Trinity Health. Launched in May 2014 to support population health management, the clinically integrated network will provide advanced care coordination services and launch new, competitive health plan products. It is estimated that 75% of Michigan residents are within 20 minutes of one of the network’s 27 hospitals and thousands of ambulatory centers and physician offices. For more information, visit http://www.togetherhealthnetwork.org/.

About CHE Trinity Health – Michigan

CHE Trinity Health – Michigan is a leading health care provider and one of the state’s largest employers, with almost 29,000 colleagues serving 31 counties and providing the full continuum of care for Michigan’s residents through 13 hospitals, which include the six hospitals of Saint Joseph Mercy Health System in Ann Arbor, Chelsea, Oakland, Livingston, Livonia and Port Huron, and seven-hospital Mercy Health operating in Grand Rapids, Muskegon, Grayling and Cadillac. The systems also operate numerous ambulatory sites, nine nursing homes, 27 CHE Trinity Senior Living Communities, 10 home health care agencies and six hospices. Nationally, CHE Trinity Health is the second-largest Catholic health care system in the country

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Healthyroads Demonstrates Commitment to Fitness with #BeBeast Bicycle Campaign to Raise Awareness about Fitness During the Group Health STP


San Diego, California (PRWEB) July 08, 2014

Healthyroads, the population health management subsidiary of American Specialty Health Incorporated, is sending a contingent of riders, Team Healthyroads, to participate in the Group Health Seattle to Portland Bicycle Classic (STP). Team Healthyroads members will show their commitment to promoting better health during this 200-mile ride, which is the largest multi-day bicycle event in the Northwest, with up to 10,000 participants riding from Seattle to Portland in one or two days.

Team Healthyroads members are all colleagues at Healthyroads, one of the nations largest wellness, prevention and population health programs, and will give it all theyve got to inspire others to live healthier lives in this 200-mile ride.

Meet Team Healthyroads:


Rik Lee, vice president of population health sales, is a road cycling enthusiast and mountain biker from the San Francisco Bay Area. He enjoys tackling Mt. Diablo, a steep 3,849-foot climb, and other beautiful and challenging routes. This will be Lees first 200-mile ride.
Greg Norman, Ph.D., senior research scientist, is an experienced road cyclist and mountain biker who has competed in mountain bike racing for over 10 years. His most memorable rides include the Big Bear 100, the Everest Challenge Stage Race, and the Vermont 50 Mountain Bike Race.
Steve Eastburn, director, national sales for employer groups, started cycling last year and has already fallen in love with this sport. He will travel from Maryland for the STP, which will be his first 200-mile ride.
Kaitlin Cofer, associate national sales manager, is also a skilled cyclist who was on the Cal Poly San Luis Obispo Cycling team. While she has completed several other long-distance cycle rides of 100 miles or more, the STP will be her first 200-mile event.

We are beyond pumped to pedal from Seattle to Portland to promote better health, which we hope will encourage others to get out there and get fit, no matter what activity they choose, said Lee. The most important thing to keep in mind when getting in shape is not to be intimidated. Take small steps first, like walking during your lunch break or parking your car a little farther away from wherever you are going. Celebrate your accomplishments and work toward bigger goals, and youll be on your way.

Exercise can be fun while also providing many health benefits. Its been clinically proven that regular physical activity can lower the risk of heart disease and control weight. Plus, it makes you feel good and helps to reduce stress, added Lee.

Healthyroads is an official Group Health STP sponsor (and participant!), and they want to see your best photo from the weekend! Take a great spirit photo during ride weekend, and post on Instagram using all of the following tags: #BeBeast, #WinHRDsPrize and @healthyroads. The best photo will win a $ 250 Visa gift card! For more information and official rules, follow Healthyroads on Instagram, Twitter, and Facebook!

About Healthyroads, Inc.

Healthyroads, Inc., a subsidiary of American Specialty Health Incorporated (ASH), offers a wide range of population health solutions, including: the award-winning Healthyroads

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Understanding COBRA Health Insurance

Learn how long the continuing coverage lasts—and what it might cost you. WHAT IS COBRA? The Consolidated Omnibus Budget Reconciliation Act is a federal law p…

Julie Appleby of Kaiser Health News talks with Hari Sreenivasan about the basics of the online marketplaces which will aim to make it easy for all Americans …

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