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The insurer is expanding its offerings for its $0-premium Preferred Provider Organization plans and special needs plans for dually eligible beneficiaries. Alignment is adding 14 counties to its footprint, bringing its reach to 8.3 million Medicare-eligible adults in 52 markets.
Prior authorization is a pivotal component of healthcare, bridging the relationship between patients, healthcare providers, and insurance companies. While a physician may determine a treatment plan, they must get the insurers green light to ensure coverage. Why Does Prior Authorization Exist?
Access and accessibility aren’t the same All three regulations have good intentions, but they unfortunately demonstrate an all-too-familiar refrain in healthcare. Payers also benefit from a member experience boost, as there’s less confusion about Explanation of Benefit statements, bills, and overall insurance coverage.
Yet many healthcare organizations still rely on SEO strategies and tactics that were "best practices" a decade ago. Its no surprise that countless healthcare providers and other businesses are seeing drops in rankings and traffic after Google's Helpful Content Update. Did you know Google changes its algorithm up to 200 times a day?
Forward by Stewart Gandolf, Chief Executive Officer At Healthcare Success, we understand that a patients journey often beings with a search query. This fundamental shift in behavior presents both a challenge and an opportunity for healthcare organizations. Decision: They select a healthcare provider for evaluation and treatment.
While there are many compounding factors that contribute to the high rates of postpartum physical and mental health issues, there are two pieces to the puzzle that are certainly exacerbating the issue: a fragmented healthcare system that separates physical health from mental health, and a lack of employer support for perinatal healthcare.
One of the essential parts of exponential growth in the healthcare emporium is effective marketing strategies. Furthermore, with the increment in the need for hospital beds, healthcare systems are in dire need of such approaches. Like any industry, a relevant marketing strategy can help healthcare practices rise effectively.
After two years of pandemic fatigue, healthcare trust is at an all-time low, according to Edelman’s Trust Barometer Special Report on Trust in Healthcare. Still, the report may be too generalized for every healthcare player. While this is an excellent general overview, it does not apply to all healthcare.
Struggling with burnout while maintaining high-quality healthcare services that patients love? Tune in to our latest podcast as Lee Aase, founder of HELPCare, LLC, shares how he transitioned from his pioneering social media work at Mayo Clinic to lead an innovative membership-based direct-to-patient healthcare business.
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Which platforms provide valuable insights for reaching healthcare professionals (HCPs) and patients? Digital platforms provide a way to streamline outreach efforts, measure campaign performance, and engage with both healthcare professionals and patients. What are the best platforms for reaching healthcare professionals?
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While many affluent consumers don’t think twice about paying cash (or credit) for luxury retail goods, there is a built-in bias that healthcare products and services should be covered by insurance. Generally speaking, today’s healthcare consumers have high expectations. 12 ways to market to and win affluent healthcare consumers.
Finally, patients can save even more money by taking advantage of discounts and promotions offered by pharmacies, such as loyalty programs or special sales. Do your own research and consult with experts when making decisions about your healthcare. Consider these when buying health insurance in Malaysia: 1.
When it comes to generative AI for healthcare , it analyzes large sets of unstructured data such as clinical notes, diagnostic images, medical charts and recordings. It is found to reduce administrative work, help in diagnosis, aid in insurance claims and more.
Most healthcare marketers are unaware that seemingly innocuous patient email marketing campaigns are yet another area where you could inadvertently run afoul with HIPAA regulations, or, even worse, suffer a breach. From the moment someone interacts with your healthcare organization, you must inform them of your communication methods (e.g.,
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But members of the LGBTQ+ community face unique challenges when it comes to preventive care, from gaps in their awareness and confidence to inadequacies in their healthcare providers’ education and training. Many LGBTQ+ patients have experienced negative interactions that have left them feeling unsafe or uncomfortable in healthcare settings.
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The agency provides best-in-class marketing and advertising, media strategy and purchasing, medical affairs and medical communications, value and market access services, as well as enterprise omnichannel enablement among its specialized offerings. Cannes Lions also recognized Klick as the 2024 #3 Independent Agency of the Year.
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One of the best things about working in healthcare innovation is seeing the impact on historically underserved communities. In honor of Pride, we polled our attorneys on the most exciting innovations for 2SLGBTQIA+ ** people and what other healthcare companies can do to better serve these communities.
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–(Business Wire)— Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation, a leader in workers’ compensation insurance, and Clarify Health , a leading healthcare analytics, and value-based payments platform company, are pleased to announce a new partnership to improve quality of care and outcomes for injured workers.
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In some ways, it is not difficult to understand why: healthcare faced unprecedented challenge from the COVID-19 pandemic and responded in an extraordinary way. However, the pandemic is only one of the often deep-rooted forces that will come together in 2023 to exert transformative pressure on healthcare.
It is no exaggeration that the American healthcare industry faces a looming crisis: an increasing number of older adults with complex healthcare needs. is just 13 percent but accounts for more than a third of healthcare expenditures. Today, the 65-and-older population in the U.S. million , up from 63.6 million in 2022.
The CE experience for this Podcast is powered by CMEfy – click here to reflect and earn credits: [link] — Watch the episode here Listen to the podcast here How To Write Your Medical Sales Resume With Cathy Lanzalaco We have with us another special guest. She goes by the name of Cathy Lanzalaco. I did case management.
Patient reviews can make or break a business in this era of healthcare consumerism and online reputations. More than 94% of healthcare patients use online reviews as the first step in researching physicians and hospitals. Your Business as a Force in The Healthcare Industry. Special events. And they're here to stay. .
A well-balanced and adequately resourced provider network is a strategic asset for payers in the highly competitive healthcareinsurance market. When looking to optimize, it is critical to ensure network adequacy or the provider network’s ability to meet the healthcare needs of an insured population.
In the highly saturated healthcare market—where strategic decisions directly influence business growth—the 7 Ps act as a fundamental compass, often separating amateurs from professionals. In healthcare, that means defining your available providers, products, and services and emphasizing what sets your organization apart.
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The cost of treating these conditions is immense and generally borne by taxpayers through a special entitlement for end-stage renal disease (ESRD) to the Medicare program. Costs for treatment of chronic kidney disease annually account for over $125 billion in healthcare expenditures in the Medicare program alone. healthcare system.
While it’s unsurprising that patients flock to these cheaper alternatives to treat common conditions, generic medications aren’t as accessible for specialized conditions, which gives pharma marketers an opportunity to drive scripts where the market is less crowded. References: 1.
2 But the pandemic shone a bright light on some of the inefficiencies in our healthcare system and drove a seismic change in patient behavior—changes that we do not see reversing anytime soon, if ever. ASCs, with their smaller footprint and more specialized focus can improve both surgical efficiency and reduce costs.
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healthcare provision landscape, integrated delivery networks, or IDNs, are differentiating their offerings by adding outpatient treatment centers, pursuing National Cancer Institute designations and investing in value-based care. Christopher Silva, Senior Healthcare Research Analyst. Pillo, Senior Healthcare Research Analyst.
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