View a brief presentation on survey results conducted in conjunction with the 2022 Future Care Web Summit, which includes comparisons to previous year results. Find out what healthcare topic will have the greatest impact in 2022, and who will be the healthcare economic winners and losers this year.
2022 will offer a complex, challenge-filled healthcare landscape, that can’t be navigated with a roadmap viewable on a device screen without a whole lot of scrolling involved. Watch a three and one half minute video highlighting sixteen key healthcare business trends for 2022, as detailed in mcolblog
View three selected MCOL Daily Factoids for Fall 2021, including:
- September 15, 2021 Hypertension in Women, Globally
- September 29, 2021: Top 10 Languages Used in Patient/Healthcare Provider Encounters
- September 9, 2021, Imnpact of Patient Online Reviews for Providers
As payers look to uncover every possible recovery opportunity, identifying the proper liable party for payment of health care services is essential. Join this webinar to learn how to maximize the ROI of your subrogation strategy by understanding the key building blocks for success:
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Breaking down the components of subrogation success
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Understanding both core and ancillary benefits of doing subrogation right
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Appreciating the differences between internal and outsourced subrogation efforts
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How to maximize the ROI of your subrogation program
Speakers: Debra Whaley, Senior Executive Subrogation Analyst, Trustmark Companies; Ryan L. Woody, Partner, Matthiesen, Wickert & Lehrer; Mara Gericke, Director of Subrogation Recovery Operations, Conduent; Moderator: Clive Riddle, President, MCOL
Subrogation is a critical element in ensuring payment integrity. Challenges for improving health plan subrogation recoveries include a multitude of factors such as: complexities in regulatory compliance; a relative “under-the-radar” level of c-suite awareness of subrogation performance issues in some organizations; the difficulty in capturing data identifying claims as subrogation-appropriate; the increased trend rate in accidental injuries and death; and Post-ACA expansion of coverage increasing the volume of potential claims to consider, particularly with the age 19-26 population that experiences a higher rate of accidental injuries.
Yet opportunities exist to meet these subrogation challenges. Advances in analytics provide enhanced capabilities in addressing high volumes of data and identification of potential subrogation claims.
Optimizing the success of health plan subrogation efforts requires a rich understanding of state and ERISA regulations and the skill to recognize the best path to claim resolution. In this webinar our experts will share their insights on the rules governing healthcare subrogation and their experiences in maximizing results in the current subrogation environment.
Additional Tags: Claims, TPA, Third Party Administrator, Payment Integrity, Slef-Insurance, Self-Funding, Benefits Administration
- Enrollment, Utilization and Financial Data by Plan and by Category
- Trends in Enrollment Changes and Utilization/Financial Ratios
- Highlights of Recent Market Activity
MCOL has compiled key current and historical California Health Plan enrollment, utilization and financial data by plan and by selected categories, and has identified trends in changes in enrollment as well as in utilization and financial ratios. Significant recent market activity has also been highlighted for selected plans. This analysis provides the opportunity to consider the pandemic impact so far on these health plan indicators, and what are the trends and market activities driving the data. MCOL President Clive Riddle provides an interesting tour of the numbers and trends behind the current state of California health plans.
View four selected MCOL Daily Factoids appearing in Summer 2021, including:
- June 30: MD Specialties With Highest Annual Compensation
- July 1: MA Members Reporting "Very Good" / "Better" Health
- July 13: Plan Behavioral Health Contract Payments by Type
- July 27: Hospital Compliance with Price Transparency Rule
A presentation of Medicaid Managed Care Organization Enrollment data and trends for 2021
View four selected MCOL Daily Factoids from May 2021, and published in June 2021 including:
May 5, 2021 World's 10 Best Hospitals 2021
May 13, 2021 Survey: What led you to try telehealth?
May 20, 2021 Survey on State of Medicare Beneficiaries
May 27, 2021 Adult Behavioral Health Indicators During Pandemic
View four selected MCOL Daily Factoids from April 2021, and published in May 2021 including:
April 6, 2021: Change in Rx Out of Pocket Costs During Past Year
April 13, 2021: COVID-19 Impact: Healthcare Worker Mental Health
April 20, 2021: Average Charges for Retail Clinic Procedures
April 27, 2021: Survey on Seeking Healthcare During the Pandemic
View four selected MCOL Daily Factoids from March 2021 including:
March 1, 2021: Change in Physician Visits During Pandemic
March 11, 2021: Healthcare Workers Refusing COVID Vaccinations
March 18, 2021: Healthcare Executives Prioritizing Automation
March 23, 2021: Health System 2021 Staffing Trends
View four selected MCOL Daily Factoids from February 2021 including:
- February 2, 2021: Highest In-Network Claim Denial Rates - ACA Plans
- February 4, 2021: Hospital Margins & Volumes 2020 vs 2019
- February 18, 2021: Consumer Experience With Telehealth Visits - Deloitte
- February 25, 2021: % Adult Health Insurance Coverage
View four selected MCOL Daily Factoids from November 2020 including:
- Physicians on Healthcare Demand in 2021
- Reduced Utilization: March/April 2020 vs 2019
- COVID-19 Impact on Physician Practices
- Employers and Virtual Visits
The following MCOL Infographics from November 2020 are featured:
- Childhood Vaccination Trends, 2019-2020
- Commercial Health Plan Premium Spending Distribution, 2016-2018
- Using Data in the Fight Against Breast Cancer
Four MCOL factoids on mental health before and during the pandemic:
- Impact of Coronavirus on Mental Health
- U.S. Adult Mental Health Treatment in 2019
- Seeking Mental Health Care During the Pandemic
- Millennials Behavioral Health Conditions
View four selected MCOL Daily Factoids from October 2020 including:
- US Adults Planning to Get Vaccinated Against Flu This Season
- US Adults Receiving Mental Health Treatment in 2019
- Millennials with Behavioral Health Conditions
- Medicare Advantage Supplemental Benefits in 2021
The following MCOL Infographics from October 2020 are featured:
- US Healthcare Spending Attributable to Modifiable Risk Factors
- States With Lowest Uninsurance Rates
- Top Ten Platforms Consumers Use to Choose a Healthcare Provider
- Estimated Economic Impact of COVID-19 in the US
Tour the timeline of the regulatory and market evolution of managed care plans from 1917 to the present during this brief presentation from MCOL.
The Value Based Care Primer Video is a five minute video covering the basic concepts behind value based care
Key research findings from two respective studies regarding healthcare social media activity.
Overview of key trends presented by speakers during the 2006 Future Care Web Summit
Key trends and issues facing the business of healthcare in 2005. Presented during the 2005 Future Care Web Summit.