The past two years have been especially challenging for employers and employees. Both felt especially vulnerable under unprecedented conditions. There was widespread remote working, job losses, facility modifications, and an increased focus on employee benefits that offer vital protection at a time when it was most needed. The effects of the pandemic have promoted new…

Oracle and Workplace Intelligence research found that 2020 was reported as the most stressful year experienced by working people. The research reported that 78% of workers surveyed indicated that the pandemic had negatively affected their mental health and 76% felt their employers should be doing more to protect employees’ mental health. And, in perhaps the…

Most healthcare providers understand the role of medical case management, but some may still have difficulty quantifying the financial value of these services. A study reported on by the National Library of Medicine on the https://pubmed.ncb.nlm.nih.gov website found that Medicare patients who received patient-centered care transition intervention had significantly lower healthcare utilization in the six…

A recent study released by Coherent Market Insights confirms that medical case management services are in high demand driving the industry’s growth. According to the study, the global medical case management services market size is expected to experience a projected compound annual growth rate (CAGR) of 3.3% by 2027 with revenues topping $6.2M.  There were…

The term population health management has become commonplace in today’s healthcare vernacular. Still, many people do not fully understand what it is and its importance in improving clinical outcomes. The American Hospital Association (AHA) describes population health management as “a process of improving clinical health outcomes of a defined group of individuals through improved care…

Despite the heightened focus on reducing preventable hospital readmission for over a decade now, there remains a high number of these incidences. The Centers for Medicare & Medicaid Services (CMS) reported that one in five elderly patients are readmitted within 30 days of discharge. The Center for Health Information and Analysis estimates that hospital readmissions…

While major strides have been made in population health management, there is still a long way to go for it to achieve its mission to improve patient health and the broader health of communities. The American Hospital Association (AHA) conducted a population health survey and received responses from over 1,000 U.S. hospitals. What the survey…

Even before the pandemic, telehealth was gaining real traction as more and more payers began to recognize the benefits across the healthcare continuum – for patients, providers and payers. Its value proposition in terms of facilitating a quicker response to patient needs, more collaboration between healthcare professionals, and perhaps most significantly, in reducing unnecessary Emergency…

Amalgamated Medical Care Management, a leading national resource for comprehensive, high quality care management services, was recently granted full URAC® accreditation in two service areas – Health Utilization Management and Independent Review Organization. The awards of both accreditations are effective from April 1, 2021 to April 1, 2024. In its letters granting full accreditation to…

Based on the latest data on the healthcare costs incurred by American businesses, employers are in need of new strategies. According to research conducted by the Kaiser Family Foundation, the average annual premium is now $7,470 for a single employee and $21,342 for family coverage; a 54% increase over the prior ten years. Of these…