GoHealth’s Post

As we witness the fruition of the health plans we've collaboratively shaped, I'm excited to remind you that amidst this Medicare Advantage season, there are exceptional teams poised to support and fortify your network-building endeavors. It's not just about assembling a network; it's about having a dedicated #teambehindtheteam, working in harmony to ensure success. Let's embark on this journey together, where expertise meets collaboration, and your vision transforms into a thriving reality. Explore the power of #teamwork in constructing robust Medicare Advantage networks that stand the test of time. Here's to the future of healthcare excellence. #medicareadvantage #marketexpansion #networkdevelopment #managedcareconsulting #isyournetworkadequate #cmsapplications #expandyourbandwithconsultants #consultants

In a compelling article by David Nash, MD, MBA, FACP, the transformative approach of Harris Rosen, founder of Rosen Hotels and Resorts, highlights the critical role employers can play in delivering high-value healthcare. Rosen's innovative employee health plan, which offers unlimited primary care visits, no copays on most prescriptions, and reinvestment in community education, has led to remarkable outcomes including a healthier workforce, lower healthcare costs, and significant community improvements. Rosen's success story serves as a powerful model for employers nationwide. As a part of the National Alliance of Healthcare Purchaser Coalitions, AEHC is dedicated to supporting Alabama employers in achieving similar success through value-based purchasing and innovative health strategies. By leveraging tools like the The Leapfrog Group's VBP Program and addressing high-cost claims, we can drive healthcare value and equity for our members. #JoinAEHC2024 to access resources, education, and support in transforming healthcare for your employees. Together, we can shape a healthier future for Alabama. #AlabamaEmployers #AlabamaHealthcare #HealthcareBenefits #HumanResources

For my healthcare colleagues, don't miss out on an invaluable webinar series by The Leapfrog Group focusing on aligning patient safety and employee experience. symplr is also dedicated to equipping your teams with the necessary tools for optimal support and patient safety, and we've helped many large hospitals and organizations maintain and improve their ratings. Register for the webinar here: https://lnkd.in/enWZxdsE #patientsafety #CDSS #healthcare

{Let’s talk about “systemic integrity”.} Systemic integrity is the vision for healthcare plan advisors who want to “do well by doing good”. In essence, it’s a relationship-based healthcare network focused on innovation, otherwise known as the “Concentric Innovations Network”. Plan members are the center of this network, which was developed by Jeff Ellington to give physicians and supporting clinicians the freedom to practice both holistically and profitably. Just a few of the advisors educating others on systemic integrity include Donovan Pyle, SHRM-SCP, REBC, CHVP, Marlin Woods, CPC, and Steve Schutzer, MD. Each of these industry experts practice systemic integrity in their individual specialties and recognize its value for plan sponsors and their plan members. My role as an advocate of this business model is to provide integral training for plan sponsors, emphasizing their fiduciary responsibilities and duty to monitor and audit all plan vendors. Plan transparency is key -- and will help lead to reduced costs and improved outcomes. elangdon@fraserstryker.com #employeebenefits #plansponsor #corporatelawyer #healthcarecompliance #healthcareinnovation #transparency

Value-based care (VBC) can help health systems drive quality initiatives and improve health equity while increasing revenue. However, realizing its potential requires careful planning and strategic investments. That's why many systems are turning to experienced partners with supplemental capabilities and technologies to support their #VBC initiatives. Trying to decide if you should bring a partner on board? In collaboration with Pearl Health, we developed a three-step checklist with key questions and requirements to keep in mind, starting with: 1️⃣ Is your organization ready to evaluate VBC partners? Consider... ✔ Sponsorship: Clear #valuebasedcare buy-in from executive leadership ✔ Vision: Clarity on how value-based care supports your key objectives ✔ Ownership: Centralized decision-making for VBC  ✔ Infrastructure: Foundational building blocks in place to pursue risk successfully (e.g., knowledge of contracting, care management support, etc.)  ✔ Collaboration: Regular cross-functional communication across relevant entities and teams Download the checklist to understand your readiness for a VBC partner—and what requirements to look for: https://lnkd.in/eiMZkdUs

Given the two significant insurance market stories of the last few days it is fantastic Lockton Healthcare are meeting American Society for Health Care Risk Management (ASHRM) to collaborate about the (re)insurance opportunities clients have in this challenging environment. Integration of the global insurance community with the clinical risk expertise and leaders, is one way of tackling the underlying issues around patient safety, and learning from others about past mistakes. #insurance #riskmanagement #lockton

For the past few years, Virtual Care has been a hot topic of discussion - and for good reasons! But have you ever wanted to know more about how people are actually using Virtual care or how you can ensure that it is used effectively? Please join us on 8/28 for a great discussion!

HR and finance professionals...protect you organization and your reputation. Learn how Goodbill and BenefitsDNA can help.

This is a must read article to get insights into challenges and opportunities with the different value-based care (VBC) entities. In this study, HMA interviewed 60 VBC entity leaders and performed research into approximately 120 organizations to get detailed insights into strategies for success and how to create and succeed with your provider networks. https://okt.to/93tmXe #valuebasedcare

WellCare of North Carolina's Market Impact Report is a valuable resource that highlights our comprehensive initiatives across each seasonal edition—Spring, Summer, Fall, and Winter. The Spring Edition spotlighted Michelle Minton, our Sr. Director of Quality Improvement, who emphasized, "Quality is everyone’s responsibility, impacting all aspects of business operations and member experiences." The report demonstrates WellCare's ongoing commitment to innovation and continuous improvement in healthcare delivery. Each edition provides in-depth insights and updates on our efforts to drive positive change in the healthcare landscape. Stay tuned for the upcoming Summer Edition! #HealthcareInnovation #QualityCare #WellCareImpact #ContinuousImprovement #CommunityHealth #WellCareNC #MarketImpactReport