More than 1 in 3 American adults is prediabetic, and 90% don't know it. In other words, nearly one-third of your employees are unknowingly on the path to developing diabetes, a chronic condition that costs $327 billion a year. In this session, learn how savvy employers are using analytic insights to:
Health plans have invested millions in pursuit of forging a productive member relationship - to generate both greater satisfaction and cost management. But in practice, health plans' member engagement strategies are oriented around what plans want from members - not what members want from plans. As a result, plans often fail to deliver on core member service priorities: easily getting care that is provider-directed, affordable, and convenient. Absent plan support, new players are filling these needs-and changing member service expectations. This presentation discusses:
The transformation of health care continues, creating opportunities and challenges for payers, providers, and employers. Market forces are provoking them to develop new strategic initiatives and to reprioritize existing ones. PNC Healthcare conducted a comprehensive, three-part strategic research project to examine how changes in health care today impact key stakeholders. Phases 1 and 2 examined what payers and providers are doing to survive the new world order. In Phase 3, the research examined trends, challenges, and unmet needs of U.S. employers related to health care. The session synthesizes qualitative and quantitative findings, and gives insight into how organizations are adapting to meet these challenges and harness new opportunities.
Group purchasing PBM contracts are a popular strategy for small- and mid-sized employers, promising to leverage combined scale for better terms and pricing. In this session:
Member engagement and satisfaction are critical to a successful MA plan. This session explores challenges plans face across the post-acute care spectrum and how to mitigate them, particularly through better collaboration with providers. Discover how to engage patients and their caregivers to increase the chance of safe discharge and reduce the chance of readmissions.