Ed Goldman

The cost of healthcare is on the rise, and so are the types of ailments. With increasing pollution, stressful lifestyles, and the popularity of junk food, diseases like diabetes, cholesterol, kidney and liver issues, and cardiac disorders are rampant. Surgeries, organ transplants, chemotherapy, and other medical procedures can leave a massive dent in your pocket. Medical emergencies can strike at any moment! Are you sufficiently equipped to meet the expenses? Visit Bay Area Health Insurance at LocalBizNetwork’s business page, the one-stop platform for all your insurance needs. https://lnkd.in/gy5yKXA . . . #HealthIsWealth #HealthAndWellness #HealthyHabits #HealthyChoices #HealthyLiving #HealthFreak #BeSafeEveryone #Covered #StudentHealthInsurancePlans #HealthInsuranceForInternationalStudents #InsuranceAgentLife #InsuranceAgentinUSA #InsuranceAgentByDay #InsuranceAgentLifestyle #HealthInsuranceMarketplace

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Join us for an enlightening session on Provider Enablement in the realm of Value-Based Care (VBC). Dive deep into the evolving landscape where third-party companies are revolutionizing VBC by managing risks and enhancing care outcomes. View the SOA Health Meeting agenda here: https://optumin.co/jgzooj #Optum #SOA #providers #ProviderEnablement #VBC 

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Although "interoperability" may seem esoteric, and certainly not top of mind for the typical employee, employer HR/Benefit, and consultant teams - it's critical for improving the patient (and thus, employee) experience, as well as for providing the closer-to-real-time access necessary to support sophisticated clinical management initiatives. Thanks for posting, Frank! #healthmanagement #dataanalytics #employeeexperience #patientexperience #hrstrategy

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Thought provoking conversation between our CEO, Mike Desjadon and CNBC's Tyler Mathisen on The Exchange yesterday discussing the role of #AI in driving #transparency and #predictability into #healthpayment. With the technological horsepower of #AI applied to #healthpayment, its now possible to know in advance what benefits are in a plan, what these plans cover and what needs to be done to make sure payments are adjudicated correctly (the first time), and people get the care they need without the anxiety of what what might wind up in their mailbox 30 days later. This is better for everyone, provider, payer and patient alike. We're here for that future. "Payers and providers can partner together on transparency using these technologies" - Mike Desjadon https://lnkd.in/gNinRjXK

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Join us for a crucial session where we delve into the Health Equity Index. Learn how it's calculated and its significant impact on quality and Star metrics for Medicare Advantage plans. View the SOA Health Meeting agenda here: https://optumin.co/ssw6cc #Optum #SOA #HealthEquity #Medicare #Payer

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Too many health decisions are made with incomplete information, and that’s driving a wedge between payers and providers. Can your claims pricing solution help solve the problem?    Rick Ellsworth, Zelis General Manager of Open Access and In-Network Pricing, touches on this in his latest blog and shares a few ways payers can improve provider communications in claims pricing. Check it out here: https://lnkd.in/enQp6jgZ

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"Ultimately, prioritizing reimbursement strategies from the inception of a neurotech venture, as well as fostering strategic connections within the healthcare ecosystem, are essential for navigating the reimbursement maze effectively." In the latest original article from NTX’s Content Lab, Anna Riggs and Sharena Rice, PhD discuss how to overcome challenges to insurance reimbursement of innovative neurotechnologies, through early development of an effective strategy and building relationships with influential players in the industry (https://bit.ly/3yU9gQm) Learn more about the Content Lab and get involved: https://lnkd.in/eg8ZGPJH #neurotech #reimbursement #medicalDevice #NTX

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Interesting read here on new attempts to cap health care cost increases to 3% annually. And by interesting, I mean pretty void of common sense and basic math. A couple of questions come up when reading this. 1. Does anyone want any more government involvement in healthcare, especially in California? We are all familiar with the Affordable Care Act currently and not sure anyone would argue that is affordable anymore. 2. When you require hospitals and health clinics to increase their minimum wage to $21/hour, but cap the amount they can be reimbursed for services, what did you think would happen? Having 10-12 clients in this space and seeing the impact this is having on them obviously makes me a little biased, but like most things coming out of the legislature in Sacramento, the opposite effect of their intended goal is what usually occurs. This may potentially cause more facilities to close and thus reducing access to care for more residents and employees.

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Taking the Hassle Out of #Healthcare - Greater #Sacramento area health insurance company offering the best health insurance benefits for your company. It’s Simple by Design. -----See how we advocate for you with health insurers and providers. www.simplysummit.com #simplysummit #employeebenefits

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Are we finally reaching a tipping point for value-based care? Ken Leonczyk and Dr. Edward Yoon sat down with health system leaders at the Becker’s Annual Meeting to find out. The discussion yielded some important insights for driving a more seamless transition to modern care delivery models. Check out the article today. https://optumin.co/xw2rkx

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Using Comprehensive Analytics to Get Past the Current Health Plan Challenges https://lnkd.in/gtQ95c9Y Milliman MedInsight Marcos Dachary Lauren Piacentini #InsuranceAnalytics, #Insurance, #HealthcareAnalytics, #DataManagement, #DigitalTransformation, #PolicyManagement, #PolicyAdministration, #ClaimManagement, #ProviderManagement, #EHR, #EMR

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As climate change escalates, health plans face mounting pressure to address the health impacts of environmental crises. Learn how industry leaders like Blue Shield of California are tackling the issue. https://bit.ly/3Qknhgg HealthLeaders #HealthPlans #healthcare #payments

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https://lnkd.in/gG7c7s9z AHealthcareZ sounds like you're on a mission to save a client $8M next year. Here's a tip: At ful.™ Health we're leveraging data, tech and innovation to deliver education and easily actionable shopping tools so members can make their best personal choices for care. We're helping self-funded plans educate and engage members like never before. As Al Lewis 🇺🇦 often says "Wiser employees make healthier decisions and healthier decisions save money" Ful. gives members skin in the game, Quizzify's fun curriculum and other resources that level up plan populations' savvy healthcare spending. It's time that payers stop handing over plan ID cards while only hoping for the best. We educate members and help them, help payers find savings. #ready4Broadway #QuizzifyRocks #HealthEducationNOW

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Are you still working with paper copies? Fax machines? Mailed forms? It's time for a change. You can revolutionize provider experiences with EXL’s automated communications. Explore how EXL’s end-to-end, integrated solutions use #data and #automation to jumpstart efficiency, enhance provider satisfaction, and improve #paymentintegrity programs. Read our use case now.

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In this video series, listen in as Optum Advisory experts @Jeremiah Reuter and @Aaron Jurgaitis share their perspectives on how to adapt to constant changes in health care and leverage data to help care coordination. Watch part 1 here: https://optum.co/u8o7en Watch part 2 here: https://optum.co/owcy6y #payer #healthcare #OptumAdvisory #Optum #healthcareperspectives #carecoordination #healthcaredata #payeranalytics #healthcareconsulting

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So impressed to witness firsthand the impact of Autonomize's AI solutions on clients! A national payer achieved an outstanding 85% reduction in the time required to prepare a prior authorization case, from an average of 35 minutes to just 5 minutes. This transformation allowed the client to shift their UM nurses' focus towards comprehensive care, addressing critical aspects like SDOH and other patient needs beyond handling prior authorization requests. #AI #HealthcareTransformation Ganesh Padmanabhan, Jeffrey Eyestone, Kris Nair, Jennifer Kloke, Ph.D.

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It is great to have David on the Gravie team. There are so many places where ICHRA can be a very powerful solution for Employers. Regardless of the size of your organization ICHRA can play an important role in your benefit strategy. #ICHRA

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