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💡 Discover the critical role of member advocacy in pharmacy benefits management and its impact on: • Employee satisfaction & retention • Improved health outcomes & cost savings • Building trust through transparency Visit https://lnkd.in/dbsDytyv to know more! Elevate your pharmacy benefits experience. Dive into our latest insights. 🚀 #PharmacyBenefits #HealthcareManagement #EmployeeWellbeing #InterceptRx

BREAKING - OPTUM, SSM HEALTH END ADMINISTRATIVE RELATIONSHIP AFTER LESS THAN TWO YEARS. St. Louis-based SSM Health and UnitedHealth Group's Optum have ended their administrative partnership around inpatient care management, digital transformation and revenue cycle management. The health system declined to provide any additional information when asked on January 3rd. The partnership was announced in October 2021 and formally began in early 2022. The deal included the hiring of some SSM employees by Optum. "We don't have the capability to do everything — no one does," SSM President and CEO Laura Kaiser told Becker's in 2021. "And so we started, as part of our strategy, to look for partners and how do we not duplicate, but rather collect and lean in together to get farther down the road." Hospitals and health systems that have previously outsourced administrative functions to Optum include Waukesha, Wis.-based ProHealth Care; Cooperstown, N.Y.-based Bassett Healthcare Network; Greenbrae, Calif.-based MarinHealth; Boulder (Colo.) Community Health; Walnut Creek, Calif.-based John Muir Health; Brewer, Maine-based Northern Light Health; Owensboro (Ky.) Health; and Tacoma, Wash.-based Virginia Mason Franciscan Health. #Optum #UnitedHealthcare #SSMHealth #administrativefunctions #endofrelationship #termination #Florida #AHCA #

Beginning in the second quarter of 2024, Cigna Healthcare will continue to leverage the power of technology and data with the launch of digital claim and precertification correspondence in the Messaging Center on the Cigna for Health Care Professionals website (CignaforHCP.com). Highlights 🔔By June 20, all registered users of CignaforHCP.com who have the claim entitlement will have access to digital claim correspondence.* 🔔By July 18, all registered users of CignaforHCP.com who have the precertification entitlement will have access to digital precertification correspondence.* 🔔On August 9, all registered users of CignaforHCP.com who have the claim and precertification entitlements will no longer receive paper letters. 🔔Note: Website access managers can select to continue receiving claim and/or precertification paper letters via “Settings and Preferences” on CignaforHCP.com. 🔔If provider TINs are not registered for the website, they will continue to receive claim and precertification correspondence via paper letters. #cigna #physician #doctor #healthcareprovider #medicalcoder #medicalcoding #valuebasedcare #revenuecyclemanagement #revenuecycle

What do you do when you or someone you know feels sad, lonely, confused, and frustrated about health journey? You call Fides Health Advocates, LLC 😄! At Fides, we’re your trusted allies in the world of healthcare. We treat our patients/clients how we would want our loved ones to be treated. Why Choose Fides? ■ Professional Support: Having true professionals in your corner during health challenges is a game changer. Our team of experienced nurses, case managers, and advocates is here to guide you every step of the way using holistic/integrative approach. ■ Monthly Subscription Option: Don’t wait until you’re in a crisis. With our monthly subscription, you’ll have access to ongoing support, personalized advice, and expert guidance. We’re committed to being there for you, no matter what. ■Comprehensive Services: □Navigational Assistance: We’ll help you navigate the complex healthcare system, ensuring you receive the best care. □Advocacy: We advocate for your rights, ensuring you’re heard and understood. □Case Management: Our team manages your healthcare journey, coordinating appointments, treatments, and follow-ups. Connect with Fides Health Advocates, LLC Fides Healthcare Management and Consulting, LLC Visit our website to learn more about our services and how we can be your trusted healthcare partner. https://lnkd.in/ga8AJYbs https://lnkd.in/e55tiiUB #HealthcareAllies #HealthyLifestyle #healthyliving #HealthAdvocates #fides #trustednurse

Rising healthcare costs and employee benefit confusion demand action. Implementing a care navigation solution isn’t just essential; it’s the key to making a difference in your workload, bottom line, and team's health. The cost of inaction is higher than you think. Read our new blog to learn why. #carenavigation #employeebenefits #healthbenefits #advocacy

#TeamCVS has grown over the past year as we’ve welcomed our Oak Street Health and Signify Health colleagues, expanding on our ability to provide care where, when and how consumers want it.   As my colleagues Creagh Milford, DO, MPH and Sreekanth Chaguturu discuss in this article, the trusted relationships that we work to build with patients help Americans navigate the health care system and drive innovation to improve health for all.  Read more here about this exciting time of growth and transformation for CVS Health:

This article in Health Affairs discusses the shift towards value-based care in healthcare, aiming to improve patient experiences and reduce costs. It emphasizes the need to address health disparities and highlights successful models like the Pathways Community HUB and Blue Cross Blue Shield's Alternative Quality Contract. The authors, Jocelyn Frye, Frederick Isasi and Emily Stewart, also call for better data collection, investment in staffing, and diverse patient involvement to advance value-based care. Ultimately, value-based care offers promise for a more efficient and equitable healthcare system. #Healthcare #ValueBasedCare #HealthEquity #PatientInvolvement https://lnkd.in/g4AHgxPH

Scalable technological solutions like Tectonic Health, finally make house calls and on demand care a reality. When you’re sick or injured, the last thing you want to do is travel and wait at an urgent care or ER and the accompanying mess of copays and deductibles to worry about. It’s time for commonsense DPC solutions like Tectonic to fill the gap in the broken primary care system. #tectonichealth #employeebenefits #healthcare #humanresources

Reference Based Pricing (RBP) is critical to establishing fair market rates for healthcare providers, such that treatment costs are predictable and reasonable for all involved.

Health equity is transforming the role of healthcare leadership, particularly with the emergence of Chief Health Equity Officers (CHEOs). The shift to CHEOs in healthcare organizations signals a powerful new commitment to addressing and eliminating disparities in care. It's time to take notice and participate in the discussion. Share your thoughts on the evolution of #HealthEquity in healthcare with us and learn more about the role of CHEOs. #CHEO https://lnkd.in/eevufrwX