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On HRAs, social determinants, and predicting health care utilization: Our top takeaways from HMA 2018

Last month, Health Management Associates hosted its annual meeting in Chicago with a sharp focus on the “rapidly changing world of Medicaid: opportunities and pitfalls for payers, providers and states.” In case you couldn’t make the event, members of the Pursuant Health team shared the following insights from the sessions. Predicting Health Care Utilization States …

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Quality Innovation, Needs Screenings and Streamlined Data: What We’re Looking Forward to at NAMD 2018

Medicaid is one of the largest, most complex systems in the United States. According to the most recent Results from a 50-State Medicaid Budget Survey, it “covers one in five Americans [and] accounts for one in six dollars spent on healthcare.” Though Medicaid is an entity of great size and critical importance, it is also …

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What merger madness and the retailization of health care means for health and wellness advertisers

The current merger mania among healthcare giants like CVS / Aetna, Walmart / Humana and Cigna / Express Scripts points to the increasing importance of the retail setting as a hub for health engagement, whether it’s grabbing over the counter medication, filling a prescription, or having a health screening or lab test performed by a …

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Pursuant Health Kiosk Demographics Offer Unexpected Insights, A Healthy Dose Podcast

Contrary to popular belief, certain populations perceived as uninterested in engaging with their health are actually eager to do so. They just need to be given the opportunity to do so on their terms. Steve Kraus, Healthcare Partner at Bessemer Venture Partners, and Trevor Price, Founder and CEO of Oxeon Partners, uncovered this insight during …

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Why Health Risk Assessments are important for Medicare Advantage Plans

Understand members’ health & improve member satisfaction with an instant incentive in a convenient care setting Member retention & growth directly tied to higher STAR ratings Comply with CMS guideline to complete within 90 days of enrollment MEMBERSHIP GROWTH 2014 – 2016 0 percent of 3 or less stars 0 percent of formerly 4+ stars …

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Why Health Risk Assessments are important for Special Needs Plans

Star Rating Measure affected by achieving 50%+ completions with a convenient care setting and instant incentives Requirement by CMS to complete within 90 days of enrollment and on an annual basis Higher Star Ratings directly tied to member retention and growth MEMBERSHIP GROWTH 2014 – 2016 0 percent of 3 or less stars 0 percent …

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Anthem Case Studies

ANTHEM CALIFORNIA PROGRAM: Diabetic Eye ExamGOALS: · Increase DEE’s by 3 – 5%· Demonstrate innovation with the State· Improve member satisfaction OUTCOMES: 65 DEE completes in 4 months prior to Pursuant Health– VS –69 DEE completes in 2.5 monthswith Pursuant Health * These numbers are out of a total of 207 eye exams for the season …

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Exploring the Changes and Opportunities in Medicaid at HMA 2018

Health Management Associates (HMA) is hosting their third annual conference on October 1-2, 2018, in Chicago. The theme of this year’s HMA Conference is “The Rapidly Changing World of Medicaid: Opportunities and Pitfalls for Payers, Providers and States.” HMA is an independent national research and consulting firm in the healthcare industry. They aim to improve …

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Drug Store News: “Pursuant Health Kiosks Offer Big Marketing Opportunities”

An independent study of Traditional Medicinals Teas’ kiosk-based retail pharmacy promotional campaign shows high levels of brand recollection among shoppers in Walmart locations across the country. From a recent piece in Drug Store News: Pursuant Health’s recent assessment of the effectiveness of campaigns reaching Walmart shoppers through its kiosks has revealed a big marketing opportunity …

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Managed Healthcare Executive: Three Things Healthcare Executives Need to Know About the Retail Environment

Three Things Healthcare Executives Need to Know About the Retail Environment, explores the burgeoning “retailization” and the associated value healthcare executives can access by engaging consumers within the retail environment. Managed Healthcare Executive (MHE) recently published our Vice President of Quality Innovation, Jared Safran. From the article: The current merger mania among healthcare giants like …

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