Medical Care
How Employers Can Provide Best Care Amid Rising Healthcare Costs
2024-12-09
Healthcare costs are on an upward trajectory, with a projected 8% increase in 2025. This poses significant challenges for employers who need to find effective ways to address these rising expenses. Key cost drivers such as cancer, cardiovascular conditions, MSK, GLP-1 drugs, high-risk pregnancies, and mental health demand immediate attention.

Webinar Highlights and Savings Areas

On Thursday, December 12 from Noon to 1 pm ET, a webinar sponsored by Personify Health will shed light on the steps companies are taking to support employees while managing budget constraints. Here are some of the key topics and savings areas that will be explored:

Clinical Support Programs for Best Care at Best Price

When it comes to third-party administration, companies are implementing various clinical support programs. These programs aim to ensure that employees receive the highest quality care at the most affordable prices. For example, some companies are collaborating with specialized healthcare providers to negotiate better rates and ensure seamless care coordination. They are also using data analytics to identify cost-effective treatment options and guide employees towards the most appropriate care.Another aspect is the integration of telemedicine services. This allows employees to access medical consultations and treatments from the comfort of their homes, reducing the need for expensive in-person visits. By leveraging technology, companies can provide timely and convenient care while keeping costs in check.

Communication and Engagement for Care Navigation

Companies are actively working on improving communication and engagement to support employees in their healthcare journey. They are using multiple channels such as email, mobile apps, and online portals to provide clear and timely information about benefits and coverage. This helps employees make informed decisions about their healthcare and encourages them to actively participate in their care.In addition, companies are providing educational resources and tools to help employees navigate the complex healthcare system. This includes information on preventive care, chronic disease management, and mental health support. By empowering employees with knowledge, they can take a more proactive approach to their health and potentially reduce healthcare costs in the long run.

Flagging and Combating Fraud

Systematically flagging and combating fraud is a crucial aspect of healthcare cost management. Companies are implementing advanced fraud detection systems that use artificial intelligence and machine learning algorithms to identify suspicious claims and patterns. By detecting and preventing fraud, companies can save significant amounts of money and ensure that resources are allocated more efficiently.They are also working with regulatory authorities and industry partners to share information and best practices in fraud prevention. This collaborative approach helps to strengthen the overall healthcare fraud prevention ecosystem and protect the interests of both employers and employees.

Benefits Plan Cost Savings

Employers are constantly looking for ways to optimize their benefits plans and achieve cost savings. This includes renegotiating contracts with healthcare providers, exploring alternative insurance models, and implementing cost-sharing mechanisms. For example, some companies are introducing high-deductible health plans combined with health savings accounts to encourage employees to be more cost-conscious in their healthcare usage.They are also analyzing claims data to identify areas where costs can be reduced without compromising the quality of care. By making data-driven decisions, companies can make targeted adjustments to their benefits plans and achieve significant cost savings.

Utilizing AI to Reduce Healthcare Costs

Organizations are increasingly leveraging artificial intelligence to help reduce healthcare costs. AI-powered analytics tools can analyze large volumes of claims data and identify trends and patterns that may indicate areas for cost reduction. For instance, AI can help predict which patients are at high risk of developing certain conditions and enable proactive interventions to prevent costly hospitalizations.In addition, AI chatbots and virtual assistants are being used to provide real-time support and guidance to employees. These tools can answer common questions about benefits, help schedule appointments, and provide personalized care recommendations. By automating certain processes and providing personalized support, companies can improve employee satisfaction and reduce healthcare costs.Among the panelists on the webinar are Erica Sniad Morgenstern, Personify Health Chief Marketing Officer (moderator), Peggy Sczepanski, Dow Global Wellbeing Program Manager, and Jenny Goins, National Alliance of Healthcare Purchaser Coalitions Chief of Staff.To register for the webinar, scheduled for Thursday, December 12 from Noon to 1 pm ET, please fill in the form below:Photo: NicoElNino, Getty Images
Abortion: Beyond Just Health Care - A Feminist Perspective
2024-12-09
The week leading up to the 2024 election witnessed a powerful and heart-wrenching advertisement that sent shockwaves across the nation. A young woman was curled up sobbing on her living room floor, while her partner frantically begged a doctor for help. An authoritative male voice then declared that she needed an abortion to save her life, only to be interrupted by a Republican Congressman in a red tie who announced the ban on abortion. This ad became a rallying cry for those advocating for women's lives.

"Abortion - A Battle for Women's Lives"

The Real-Life Stories Behind the Ad

The ad was based on a series of horrifying real-life incidents where pregnant women were left to bleed out in parking lots, had to travel to multiple states to escape sepsis, and even died in hospitals surrounded by medical professionals. These women faced medical emergencies that required abortions, but state bans prevented them from getting the care they needed. This sparked a heated debate about the role of medicine and the importance of abortion as healthcare.

It became clear that abortion is not just a medical procedure but a matter of life and death for many women. The World Health Organization's definition of health as a state of complete physical, mental, and social well-being was directly applicable in these cases. Abortion promoted all aspects of health, highlighting the need for it to be accessible and legal.

The Feminist Perspective on Abortion Rights

In the 1960s and 70s, many feminists had a complex relationship with the medical profession when it came to abortion rights. The Patients' Rights and Women's Health movements grew skeptical of doctors, seeing them as paternalistic and profit-driven. Some activists believed that medicine could be reformed through government regulation, while others thought it was a lost cause due to the hierarchical structure.

The Women's Health Movement was a significant part of the second-wave feminist movement. These feminists fought to reject traditional gender roles and gain control over reproduction. They interrupted hearings, called for women's voices to be heard, and challenged the medical establishment's monopoly on abortion decisions.

Medical Groups and Abortion Law Reform

Professional medical groups supported abortion law reform, but their approach differed from that of feminists. Some doctors believed in a woman's right to abortion but were concerned about government interference. Others feared that legalizing abortion would give too much power to their female patients.

The American Medical Association's 1970 resolution emphasized that abortion should be based on sound clinical judgment and not just on the patient's demand. This showed the ongoing tension between the medical profession and the feminist movement.

Alternative Approaches to Reproductive Care

In the 1970s, feminists like Carol Downer pioneered self-exams and the "Del-Em" device to give women more control over their bodies. Menstrual extraction allowed women to avoid the legal and medical debates surrounding abortion and have more convenience in managing their periods.

These alternative approaches were not apolitical; they were a way for feminists to assert their political power and challenge the status quo. They saw creating alternatives to organized medicine as a crucial part of the fight for reproductive freedom.

Roe v. Wade and Its Aftermath

In 1973, the Supreme Court's Roe v. Wade decision struck down state abortion bans, giving women a constitutional right to abortion. While this was a significant victory, many feminists remained skeptical of the patriarchal structure of medicine.

After Roe, women's health activists worked to protect women seeking abortions by providing information and founding "woman-controlled" clinics. They also emphasized the importance of patient autonomy and equality in reproductive care.

The Future of Abortion Rights

Before Roe was overturned, many women had to self-manage their abortions due to limited access. As the likelihood of nationwide restrictions grows, more women are turning to alternative options like AidAccess. This highlights the need to expand our vision of abortion rights beyond the clinic.

Deferring to expertise and professional judgment may be powerful rhetorically, but it should not overshadow the importance of equality and autonomy in abortion rights. Abortion promotes health, but it is more than just healthcare. It is a fundamental right that should be accessible to all women.

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Bill Burr: Jokes on 'Gangster' Health CEOs After His Assassination
2024-12-08
Comedian Bill Burr has made significant remarks regarding the tragic assassination of UnitedHealthcare CEO Brian Thompson. In his joint podcast with Paul Virzi, "Anything Better?", Burr delved into the aftermath and the public's reaction. He began by recounting reading an article where someone expressed surprise at Thompson's alleged goodness, only to later discover that he and his colleagues were facing a $121 million lawsuit for insider trading. This, Burr argued, provided a clear motive.

Comedian Burr Unveils the Truth Behind a Tragic Incident

Insider Trading and Its Impact

Burr pointed out that Thompson and his team were being sued for dumping a stock without informing others. This act not only raised questions about their ethics but also shed light on the underbelly of the business world. Such actions can have far-reaching consequences, not only for the individuals involved but also for the companies and the public. It shows how greed and self-interest can lead to unethical behavior.

Such incidents highlight the need for stricter regulations and oversight in the corporate world. Without proper checks and balances, executives like Thompson can engage in activities that harm not only their shareholders but also the trust of the public. The case serves as a reminder that justice must be served, and those who violate the law should be held accountable.

The Double Standards in Coverage

Burr also criticized the double standards in the coverage of Thompson's killing. He noted that while there was a lot of attention given to this particular incident, similar tragedies in New York, where someone gets gunned down every day, often go unnoticed. He questioned why experts suddenly feel the need to weigh in when a white guy in a suit is involved.

This double standard reveals the biases and priorities in our society. It shows that certain events and individuals receive more attention and sympathy based on their social status and appearance. Burr's comments serve as a wake-up call to examine these biases and ensure that justice is served equally to all, regardless of their background.

The State of the American Healthcare System

Burr emphasized that the tragedy of Thompson's assassination does not detract from the fact that the American healthcare system remains a "dirty game." He compared the healthcare industry to a gangster world, where actions are often driven by profit rather than the well-being of patients.

This perspective highlights the need for reform in the healthcare system. It is clear that there are issues with the way healthcare is delivered and managed, and these issues need to be addressed. Burr's words serve as a call to action for policymakers and healthcare providers to work towards a more transparent and patient-centered system.

Thompson was shot outside the Hilton Hotel in midtown Manhattan on Dec. 4 at around 6:40 a.m. before an investor meeting. The investigation is ongoing, and the suspect is still at large. Burr's comments have sparked a lot of discussion and reflection on the events and the issues they raise.
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