Insights

How health care fraud has changed in the electronic age

As the health care industry shifts toward more web-based services, such as telehealth, more online services provide more opportunities for criminals. Learn about health care fraud trends — and what employers can do to help — from Howard Levinson, clinical fraud director of the Special Investigations Unit of Anthem Inc.

Myths about self-funded health plans

An estimated 61 percent of U.S. companies self-fund at least a portion of their health plan, as more and more employers are willing to explore alternative-funded solutions to provide quality health benefits to their employees. HealthLink's Susan French discusses what employers really need to know about self-funded health plans.

Utilization management: The effect of pre-admission and post-discharge planning on health and costs

Many employers and their health plan members assume that a utilization management program’s only goal is to approve or deny medical procedures and save costs for the health plan. But that's not the full story. Learn more about utilization management programs from Dr. Jay Moore of HealthLink, Inc.

How cost containment can be part of your targeted health care strategy

Health plans often take a reactive approach to members’ health by intervening only after services are rendered, but with detailed data sets, it’s possible to manage risk before it occurs. HealthLink's Brian Fallon shares how to determine the most effective cost containment programs for your health plan.

How to forge successful partnerships directly with health care providers

By partnering with providers and facilities, employers may get more competitive rates and cost-effective health outcomes. Health care expenditures, patient experience and medical outcomes also can improve. HealthLink's Brian Fallon shares how to increase collaboration between health plan stakeholders.