Entries in Thayer, Claire (98)

Wednesday
Nov192014

Health Care Fraud Detection: Intersection of Data and Linking Analytics

By Claire Thayer, November 19, 2014

LexisNexis tells us that three key elements of successful link analysis are Big Data, Super Computing and Social Network Definition and that the three big data necessary for successful link analysis include claims data, provider data and member data.  In August earlier this year, LexisNexis hosted a webinar, Moving Fraud Prevention Forward: The Intersection of Data and Linking Analytics.  Throughout this webinar, the audience engaged in several polling questions - these questions, along with the audience responses are featured in MCOL’s infoGraphoid this week:

MCOL's weekly infoGraphoid is a benefit for MCOL Basic members and released each Wednesday as part of the MCOL Daily Factoid e-newsletter distribution service – find out more here.

Wednesday
Nov052014

US Healthcare Spending Waste, Unnecessary Cost, and Fraud

By Claire Thayer, November 5, 2014

The United States spends almost $3.8 trillion annually on healthcare – or 18% of GDP. Of this amount, almost one-third of healthcare spending is estimated to be attributed with waste, unnecessary services and fraud. MCOL’s infoGraphoid this week highlights some of the major types of waste, estimated number of unnecessary surgeries, new healthcare fraud investigations and more:

MCOL’s weekly infoGraphoid is a benefit for MCOL Basic members and released each Wednesday as part of the MCOL Daily Factoid e-newsletter distribution service – find out more here.

Wednesday
Oct152014

Population Health Management Costs & Risks

By Claire Thayer, October 15, 2014

Chronic disease is defined as a long-lasting condition that can be controlled but not cured.  In the United States alone, 75% of our healthcare spending is now directed towards the treatment of chronic disease.  Studies find that almost 50% of this population copes with at least one chronic condition.  MCOL’s infoGraphoid this week highlighted these trends, along with a recent study published in the journal Health Affairs  on the cost impact of disease management and components of Pepsico’s wellness program focused on reducing employee costs and hospital readmissions:

MCOL’s weekly infoGraphoid is a benefit for MCOL Basic members and released each Wednesday as part of the MCOL Daily Factoid e-newsletter distribution service – find out more here.

Thursday
Oct022014

Kaiser Family Foundation’s 2014 Employer Health Benefits Survey 

By Claire Thayer, October 2, 2014

Findings from the latest Kaiser Family Foundation’s annual survey of employer-sponsored health benefits are now available in the 2014 Employer Health Benefits Survey. This annual survey of employers provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and employer opinions.  Here are a few of the key findings pertaining to trends in premium rates and worker contributions:

  • Average annual family premium: $16,834, a 69% increase since 2004 and doubled since 2002
  • Workers contribution to premiums: $4,823
  • Workers average deductible: $1,217, up 47% since 2009

The complete report, all 275 pages, includes comprehensive analysis, findings and lots and lots of charts! 

 

Wednesday
Sep242014

Problems with Accuracy in Health Plan Member Data

By Claire Thayer, September 24,2014

LexisNexis illustrates the types of problems encountered with accuracy in health plan member data in MCOL’s infoGraphoid this week:

Wondering if your member data is current and complete? LexisNexis offers a no-cost evaluation. MCOL’s weekly infoGraphoid is a benefit for MCOL Basic members and eleased each Wednesday as part of the MCOL Daily Factoid e-newsletter distribution service – find out more here.