Get Serious About Healthcare Costs

Get Serious About Healthcare Costs. Learn how to identify low value specialist care for high cost claimants.
Once low value specialists are identified, the solution is to STEER health plan members away from these low value specialists.
This video tells you Exactly How to Do That using Claims Data.
This steerage can be accomplished via:
1. Primary Care
2. Plan Design
3. Navigation
4. Centers of Excellence
AHealthcareZ is 200+ Healthcare Finance Educational Videos.
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[@user-xe4ku7rv2x]

This is a fantastic description of how employers can help reduce healthcare costs! With almost half of all Americans relying on employer-sponsored health plans, employers can offer real benefits for their employees and play an overwhelming role in improving health outcomes while saving on healthcare costs. Health education is going to be critical in "right-sizing" the American healthcare system. Thank you for sharing! Your videos are always very informing!

[@ahealthcarez]

Thank you for watching and for your comment

[@fhd89234n8f43n7]

@4:20 I love how Dr Bricker already knows that getting the data will have some pushback. 😂 I imagine it’s because the provider knows what you’re doing and doesn’t want you digging too deep.

[@ahealthcarez]

Thank you for watching and for your feedback.

[@Munkjnnkn]

Hello Dr. Bricker, I'm a first-year medical school student. Beside religiously watching your videos, what are some ways in which I could educate myself in matters like this? I'm intrigued by the clinician's role you described in this video to identify "low grade" specialists and steering the employer toward "high grade specialists". I feel like it's a win-win for everyone(except the ortho doc who went straight for surgery): the employer saves money, patients get better care, and the doctors who follow standard-of-care are rewarded.

[@ahealthcarez]

Best book on this topic is ‘The Company That Solved Healthcare’ by John Torinus. Thank you for watching.

[@matthewfrahm9850]

Your videos are a tremendous help. Thank you!

[@ahealthcarez]

Thank you for watching.

[@artempetakov9597]

Amazingly helpful! Can't wait for the video on steering!

[@ahealthcarez]

Thank you for your feedback.

[@GuillermoArellano]

This was a very interesting video. I am from the IT industry so I have a basic question; who determines standard-of-care? Doctors or insurance companies?

[@ahealthcarez]

Doctor Specialty Societies. E.g. American College of Cardiology. American College of Pediatrics. Etc.

[@dr.davidschwartz1872]

Convenient, Low cost, High quality - Pick any two out of the three.

[@ahealthcarez]

Thank you for sharing your thoughts.

[@GuillermoArellano]

Sounds like software consulting! 😂

[@runnerboy141]

Would love to view a video on steerage

[@ahealthcarez]

Thank you for your feedback.

[@s7demolition154]

ALWAYS great content doctor!👍🏻

[@ahealthcarez]

Thank you for watching and for your feedback.

[@spoudaois4535]

If everyone went with whole food low plant based 90% nutrition we would reduce health care costs by 70%.

[@ahealthcarez]

Dr. Robert Lustig would probably agree with you. Thank you for watching.

[@claashorst]

What a hammer!

[@ahealthcarez]

Thank you for your feedback.

[@jyudmdmd]

how do you factor in the complexity of patient? I would imagine this encourages healthcare systems to avoid complex patients with challenging comorbdities, the ones that most in need. This would also encourage physicians to avoid complex patients.

[@ahealthcarez]

Good question. Don’t judge by outcome… rather deviation from standard of care. Many straightforward patients are treated with approaches well below the norms.

[@victorguajardo7105]

Is there a way I can do this Dr. Bricker? Former military paramedic and current benefits consultant. If so, where can I learn to judge the quality of the claims, or if there are companies, who would you recommend?

[@ahealthcarez]

Gotta hire a clinical person, IMO. No analytics company does this to my knowledge. Getting the data fields is tough too.

[@victorguajardo7105]

Check. Hire an MD, if so, where would I find one that specializes in this?@@ahealthcarez

[@AtosSeries]

Bro i love u from Pakistan tell my name in your video my name is Abdullah Salamat

[@daviddesjarlais2764]

Health care cost ain't the problem, people are being ran by the dollar the technology already exists but revenue takes advantage over meat the battle is already happening against humanity. If a few filters were made would generate dollar.

[@ahealthcarez]

Thank you for sharing your thoughts.