HealthHelp

Early detection is crucial in cancer treatment, and genetic testing is emerging as a game-changer to identify hereditary risk factors and allow for proactive preventive measures. With over 200 hereditary cancer syndromes identified, the complexity of genetic testing is undeniable. Tests can analyze single genes or panels of 30-100 genes, contributing to a global genetic testing spend exceeding $22.8 billion this year. HealthHelp partners with InformedDNA to simplify the genetic test ordering process, matching the diagnosis to the right test at the right facility. How can HealthHelp manage the complexities of genetic testing to enhance your Members' outcomes? #CancerPrevention #GeneticTesting #EarlyDetection #PersonalizedMedicine

An approach to Utilization Management that has gained attention is Provider Gold Carding, where certain Physicians are exempted from prior authorization based on their history of high-quality, appropriate care. The purpose of Gold Carding is to streamline the approval process, reduce administrative expenses, provide faster patient care and decrease provider frustration while maintaining oversight on those with less consistent track records.    HealthHelp provides Gold Carding services to our Clients, having developed robust evaluation criteria and creating in depth monitoring systems. Gold Carding offers the potential of increased efficiencies and satisfaction, however it also comes with risks of Provider bias. The jury is still out if reduced oversight increases overutilization, but whether State law or organizational priorities, HealthHelp can provide a compliant Gold Carding component of any of our specialty benefit management programs. #utilizationmanagement

A heartfelt thank you to everyone who made #AHIP2024 truly memorable. We're honored to have been a part of this event, and we look forward to continuing the conversation in the days ahead. Together, we're shaping the future of healthcare for the better! #specialtybenefitsmanagement #healthhelp

Dawn breaks on the final day of #AHIP2024 A big shout out to everyone we have met during this extraordinary event. It was our pleasure! There is still time to stop by to meet the HealthHelp team and learn how we are innovating specialty benefits management for health plans. Booth #1827. #specialtybenefitsmanagement

#AHIP2024 Day 1 is underway! Don’t miss HealthHelp at booth 1827. Come see how our utilization management programs allow health plans to ensure appropriate care for members across several key clinical lines and lower overall cost per case wile reducing provider friction. With our suite of clinical solutions inculding Cardiology, radiology, oncology, musculoskeletal, sleep care and our NEW genetic testing program, your health plan could benefit from: • Up to a 30% reduction in spend by specialty • Overall 5:1 ROI or greater • Industry leading 60 NPS and 98% satisfaction rating from providers #utilizationmanagement #benefitsmanagement

Our business partner, InformedDNA, will be speaking at #AHIP2024 about critical developments in #biomarker mandates that have complicated Genetic Testing Utilization Management and what health plans can do to address this emerging challenge. This is an excellent opportunity to gain insights from industry leaders. Join HealthHelp and InformedDNA on Wednesday, June 12 at 10:40 am in Presentation Theater 2. #GeneticTesting #UtilizationManagement #BiomarkerLegislation #InformedDNA #HealthHelp

Countdown to #AHIP2024! The HealthHelp team can't wait to attend in Las Vegas alongside our partner in genomic expertise, InformedDNA. Looking for a comprehensive specialty benefits management partner? From June 11 - 13, you'll find us at booth 1827. Join us! https://bit.ly/4aGpuKe

Prior Authorization Exemptions: Exploring Better Alternatives to Gold Carding with HealthHelp’s Quality Performance Program Prior authorization is a critical component of healthcare delivery, but it can also be a source of frustration and inefficiency for providers, payers, and patients alike. How can we improve the prior authorization process and ensure that it aligns with the goals of quality care and cost containment? In this article, we explore how HealthHelp’s Quality Performance Program offers an innovative solution that leverages data-driven analytics, configurable criteria, and comprehensive support services to streamline the authorization process and promote adherence to clinical guidelines and best practices. Unlike traditional methods like gold carding, which rely on blanket approvals and lack transparency, our program enables a collaborative and evidence-based approach that optimizes patient outcomes and reduces unnecessary costs. If you are interested in optimizing your prior authorization process, we invite you to read the full article using the link below to learn more about how our solution can benefit your health plan: https://bit.ly/3ycvz3s #healthhelp #priorauthorization #goldcarding #healthcarequality

During National Nurses Week, HealthHelp wants to continue to express our gratitude to nurses for their unwavering dedication to patients. Thank you for being the heartbeat of our healthcare system. #Nurse #NationalNursesWeek #HealthHelp #WNS