How do health organizations prepare for a pandemic,free activity books,emergency management plan victorian schools,scientific information on tsunamis - Reviews

In a recent article published on the blog of Harvard Business Review, economist Michael Porter emphasizes that the only solution to improve the health care system in this country is to increase the value of health care, which according to Porter is measured by outcomes achieved for patients relative to the dollar amount spent. While many obstacles are deeply rooted in the culture and legacy of the system and there is no quick and easy fix, there are issues we can tackle that may bring meaningful and tangible results in the short-term.
Treating an episode of disease or managing a chronic condition often requires different specialists work together to deliver care. Significant improvements have been made in the health care IT space but it is still far from perfection.
First, health care IT needs a universal standard to facilitate inter-organizational communication.
Many studies have suggested that by improving communication within an organization, efficiency will also increase. New tools and technologies have been successfully used by organizations in other industries to improve internal communication and demonstrated positive results. Compared to other highly anticipated reforms in health care organizations, enhancing internal communication requires much less resource. Enter your email address to follow this blog and receive notifications of new posts by email.
While there are certainly things that can be done at the health plan level to assist clients in meeting their objectives, Dubraski & Associates also has extensive experience and strong market relationships in the reinsurance marketplace. Specific Stop-Loss Reinsurance: Protects the health plan from volatility due to expenses of individual a catastrophic case. Quota Share and Aggregate Reinsurance: Preserves capital to support the existing business and to support future growth initiatives and the overall finances of the organization. Specialty Carve-Out Programs: Allows the health plan to limit or even remove certain risks, such as transplants, by ceding that risk to a reinsurer. Reinsurance For Capitated Providers: Provides a pass-through or a partnership strategy with health plans that incorporate a capitation structure and may have a need to provide reinsurance to these at-risk entities.
Alternative Funding Programs: There are also various alternative funding programs available in the marketplace that may be developed based on the needs of a health plan, such as cash-flow management, protection from frequency of claims, and utilizing the health plans captive insurance company and others. Since 2003, the fully ensured risk enrollment has decreased each year with a total drop in membership of 10.2 million lives. Outsource Employer Stop-Loss -The health plan may outsource the function of obtaining employer stop-loss to us. Regional health plans may be at a disadvantage if coverage is provided for groups that have employees residing outside the health plan’s service area.
The health plan may partner with a company that provides a turnkey solution for writing members outside the service area. If the number of national employer groups that are targets for your company can be narrowly defined, a more strategic approach may be warranted. The health plan will have access to a licensed insurer that has the authority to underwrite business in states in which the health plan is not licensed.
The health plan will have access to a strong national provider network with contracts that will keep the overall employer group pricing competitive.
The program has the licensing and administrative capabilities in place for the out-of-network component. Depending on the financial structure, the health plan will maintain control over the employer group pricing.
With expertise in the procurement and cost reduction of group life and disability, Dubraski & Associates uses a proprietary web-based insurance exchange platform that streamlines the insurance contracting process.
More companies are offering voluntary benefit options as a way to meet the needs of a diverse workforce, to recruit and retain qualified employees and to supplement core coverage without adding any additional costs to the employer. With more than 11 million lives under management, our pharmacy management partner brings leverage and expertise to assist you in managing your pharmacy benefit management contract. This program provides assistance to your members who require emergency medical treatment away from home. To learn more about how Dubraski & Associates can help health plans, co-ops and insurance companies, contact us. Ensures compliance with Federal consumer financial laws by supervising market participants and bringing enforcement actions when appropriate. Provides, through a variety of initiatives and methods, information to consumers that will allow them to make decisions that are best for them. The CFPB is a 21st century agency that helps consumer finance markets work by making rules more effective, by consistently and fairly enforcing those rules, and by empowering consumers to take more control over their economic lives. Inform the public, policy makers, and the CFPB’s own policy-making with data-driven analysis of consumer finance markets and consumer behavior. Strategies and investments that lay out the actions we will take to accomplish our outcomes. Prior to Congress enacting the Dodd-Frank Act, consumer financial protection had not been the primary focus of any one federal agency, and no agency could set the rules for the entire financial market. Industry structure is always changing, and therefore, so too will the number of institutions that fall under the CFPB’s supervisory authority.
Develop and maintain an efficient fact-based approach to developing, evaluating, revising, and finalizing regulations. Develop a rule-writing team with highly advanced skills in relevant and specialized legal and business areas. Work with consumers and industry stakeholders on developing regulations to implement existing Federal consumer financial laws effectively.
Develop ways to provide financial product disclosure information to consumers electronically. Section 1022(d) of the Dodd-Frank Act requires the CFPB to assess each significant rule the Bureau adopts and publish a report of the assessment within five years of the effective date. The Regulatory Flexibility Act, as amended by SBREFA and the Dodd-Frank Act, requires the Bureau to convene a Small Business Review Panel before proposing a rule that will have a significant economic impact on a substantial number of small entities.
Acquire and analyze qualitative and quantitative information and data pertaining to consumer financial product and service markets and companies. Focus resources on institutions and their product lines that, based on their size, nature of the product, and field and market intelligence, pose the greatest risk to consumers. Establish a framework for sharing information, coordinating activity, and promoting best practices with fellow financial institution supervisory and law enforcement agencies to ensure the most effective use of regulatory resources.
Continue to develop a technology solution for coordinating supervisory information, capable of recording, storing, tracking, and reporting information on the CFPB’s supervisory process. Continue implementing a tool capable of reviewing loan and deposit portfolios for compliance with Federal consumer financial laws. Effective supervision of financial institutions to foster compliance with Federal consumer financial laws requires prompt notice to institutions of matters requiring their attention and action to avoid further violations or consumer harm. This measure ensures that the CFPB successfully resolves as many actions as possible while, at the same time, pursuing complex and challenging actions when appropriate, even when success is not assured.
The CFPB works to arm consumers with the knowledge, tools, and capabilities they need in order to make better-informed financial decisions by engaging them in the right moments of their financial lives, in moments when they are most receptive to seeking out and acting on assistance. Despite this diversity, consumers often find themselves in one of four specific financial circumstances at various points in their lives.
The CFPB provides direct assistance to consumers, in real time, through its Office of Consumer Response. Collect, analyze, and leverage Consumer Response operational data to enable continuous improvement of our services to consumers. Develop a seamless approach to delivery of appropriate and useful Consumer Response data within the CFPB and to the public so that information is timely, understandable, and maintains consumer privacy.


Automate key internal operational systems, particularly the intake and routing process, in order to effectively scale Consumer Response operations. Maintain a robust training and development program to support Consumer Response operations as volume and product coverage increase. Facilitating efficient handling of a consumer complaint is a key way in which the CFPB provides targeted, meaningful, and accessible assistance and information to empower consumers. The CFPB facilitates timely response to consumer complaints by using a dedicated company portal to route complaints to companies for response. The CFPB works to provide consumers with the information, knowledge, and financial education needed in order to make well-informed decisions to enhance the financial knowledge and capability of the country as a whole.
As we age, we face a number of complicated decisions related to finances, retirement, and long-term planning. The CFPB believes servicemembers should be able to accomplish their mission without worrying about illegal or harmful financial practices.
Many consumers cannot or do not access banks, thrifts, or credit unions, and instead, rely on alternative financial services. An individual who has a checking or savings account and also used payday lending or certain other services from nonbanks.
Low-income households, consumers with thin or no credit file, and households with limited savings.
Low-income and economically vulnerable populations are more likely to rely on alternative financial services, putting them at increased risk of paying a high price for credit or payment services. Provide tools and information directly to the public to help individuals make decisions about money that will serve their own life goals. Analyze consumer financial experiences to help shape policy and influence product change to make the financial environment safer and more beneficial for consumers. Reshape the field of financial education through the identification and widespread dissemination of effective practices.
Collaborate with third parties to encourage the development of effective financial skills and habits. The CFPB works to arm consumers with the knowledge, tools, and capabilities they need in order to make better informed financial decisions by engaging them in the right moments of their financial lives, in moments when the consumer is most receptive to seeking out and acting on assistance. The CFPB believes that financial education’s primary goal is to improve the financial well-being of consumers. Inform the public, policy-makers, and the CFPB’s own policy-making with data-driven analysis of consumer finance markets and consumer behavior. Understanding how consumer financial markets work, the avenues for innovation in financial products and services, and the potential for risk to consumers is a core component of the CFPB’s mission.
Acquire, collect, and maintain the data necessary to properly monitor select markets for emerging risks and positive innovations. VISION 2020 is the global initiative for the elimination of avoidable blindness, launched in 1999, jointly by the World Health Organization (WHO) and the International Agency for the Prevention of Blindness (IAPB) with an international membership of NGOs, professional associations, eye care institutions and corporations. Over two decades, it is hoped that VISION 2020 will prevent 100 million people from becoming blind.
VISION 2020, through WHO, IAPB and its member organisations, provides technical support and advocacy to prevention of blindness activities worldwide.  At the national level, a strong partnership between Ministry of Health, national and international NGOs, professional organisations, and civil society groups – brought together in a national prevention of blindness or VISION 2020 committee – should facilitate the development and implementation of effective and sustainable national eye care plans.
While it has been almost unanimously agreed upon by the health care community that we need to pursue a patient-centered and outcome-based model, reforms for this complex system face significant challenges and may take a long time to complete. For example, cancer care may involve oncologist, radiologists, anesthesiologist, surgeon and pathologist.
This may seem difficult in the short-term but in the long-run this will help to increase efficiency and contain cost. In health care organizations, more efficient and effective communication among providers means better-coordinated care, lower cost and improved patient outcomes. Chatter, a web-based internal communication widget developed by Salesforce has been widely used by organizations across industries to boost information sharing, enhancing team performance. Interpersonal and Communication Skills is defined by American Board of Medical Specialties as one of the six core competencies for quality patient care for physicians. Provider organizations might even be able to test multiple approaches until they find the idea one. Our associates are highly specialized, recognized leaders in the health care brokerage industry. That means our associates can work closely with health plans to develop a variety of reinsurance structures to efficiently meet their goals. Contact us to learn more about the types of reinsurance programs that may be available to you. Conversely the Administrative Services Only market has seen growth of almost equal proportion or 10.4 million lives.
This allows the health plan to utilize the wholesaler’s access and leverage to obtain the optimal program structure and pricing for its target self-funded groups. Dubraski & Associates has very broad reach, expertise and the resources to develop a program designed specifically for each target group. This can be for the health plan itself as well as for the health plan’s employer groups.
Dubraski & Associates has relationships with all the major voluntary benefit carriers and has partnered with the leading enrollment and communication firms.
We take in data, manage it, store it, share it appropriately, and protect it from unauthorized access. This means developing and leveraging technology to enhance the CFPB’s reach, impact, and effectiveness.
Therefore, we invest in world-class training and support in order to create an environment that encourages employees at all levels to tackle complex challenges. We serve our colleagues by listening to one another and by sharing our collective knowledge and experience.
We believe in investing in the growth of our colleagues and in creating an organization that is accountable to the American people. The result was a system without sufficiently effective rules or consistent enforcement of the law. The CFPB is designed to be agile and adjust its approach to supervising the financial industry in order to respond rapidly to changing consumer needs. Working with industry groups, develop data standards so that private enterprise can create new tools that help consumers understand the financial products they buy. The assessment addresses, among other factors, the rule’s effectiveness in meeting the purposes and objectives of the Dodd-Frank Act, Title X and the specific goals the Bureau states for the rule. Other public outreach efforts, such as meetings with consumers and industry stakeholders in the development of a proposal, inform and otherwise assist the Bureau in crafting more effective rules. A thorough report development and review process ensures high quality reports that appropriately explain what the examination team found and why corrective actions, if any, are required. Timely pursuit of resolutions increases deterrence and provides consumers with greater protections of law.
The CFPB seeks to successfully resolve as many fair lending actions as possible while, at the same time, pursuing complex and challenging actions when appropriate, even when success is not assured. To that end, the CFPB will develop and maintain a variety of tools, programs, and initiatives that provide targeted, meaningful, and accessible assistance and information to consumers at the moment they need it.
Consumers represent diverse populations with diverse financial needs, choices, and challenges; they seek out information about financial choices using a variety of channels. These stages include learning about financial life, losing financial ground, bottoming out, or gaining financial ground.


Consumer Response hears directly from consumers about the challenges they face in the marketplace, brings their concerns to the attention of companies, and assists in addressing their complaints.
Once routed, complaints appear in real time in company portals where companies can review and respond to the complaint, triggering communications to consumers about the company’s response to their complaints.
In addition to improving overall financial capability, the CFPB focuses on addressing the unique financial challenges faced by four specific populations.
Four-year college graduates experience a number of economic benefits over high school graduates, including higher median earnings and lower unemployment rates. Older Americans face complicated decisions about finances, retirement, and long-term planning. Military life has extra challenges with powerful financial repercussions for uniformed military personnel, veterans, military retirees, and their families. Low-income and other economically vulnerable consumers are especially likely to use these services.
Consumer advocates communicate directly with the CFPB, and the CFPB learns about emerging fair lending issues from these groups. In the long term, the initiative seeks to ensure the best possible vision for all people, thereby improving their quality of life.  This goal should be achieved through the establishment of a sustainable, comprehensive eye care system as an integral part of every national health system. Adrian Gpropper, CTO of Patient Privacy Rights points out that due to current federal regulations, patient information is segregated from provider information in health care IT, creating barriers for transparency. Second, improved IT engineering is needed for EMR to highlight relevant clinical data and facilitate physician communication so they can better coordinate clinical procedures throughout the care cycle. However, in these fragmented enterprises where specialized but siloed unites largely function independently and internal communication is needed the most, very little meaningful efforts have been put into place. Similar tools can be tailored and integrated in a health care or clinical setting to empower providers with shared information, enhancing coordinated care. Although a lot of attention has been given to patient-physician communication, communication between physicians plays an equally, if not more, important role in delivering effective care. The impact of the relatively cheaper change however, may bring highly cost-effective results. Dubraski & Associates is the largest, most experienced broker and consultant in the managed care stop-loss business. They have worked with all types of health plans: national to regional, publicly traded to provider owned, commercial, Medicare and Medicaid, as well as health insurance cooperatives. Partner with a Reinsurer – The health plan may partner with a quality reinsurer to write the employer stop-loss, while at the same time participating in the program through a profit sharing or risk sharing agreement.
This solution is ideal for those health plans that anticipate a fair amount of activity prospecting national employer groups.
Dubraski & Associates will coordinate the entire process and deliver a streamlined economically attractive option for this employer.
Our unique approach invites qualified carriers to participate in an online, reverse auction bidding process. The Bureau is developing targeted outreach to groups that face particular challenges, as required by the Dodd-Frank Act. Our aim is to use data purposefully, to analyze and distill data to enable informed decision-making in all internal and external functions.
We strive to be recognized as an innovative, 21st century agency whose approach to technology serves as a model within government. The Bureau is also interested in exploring ways to increase general consumer involvement in the rulemaking process.
These supervisory activities will foster compliance with Federal consumer financial laws, promote a fair consumer financial marketplace, and prevent unlawful discrimination. Therefore, the CFPB must be flexible and adaptable in addressing the highly diverse needs of American consumers. The CFPB focuses on identifying approaches that help this population achieve economic stability and works to ensure that the financial marketplace works for all consumers, including those who have been traditionally underserved. The Bureau will then encourage effective teaching and development of that knowledge and skills by enhancing the effectiveness of financial education and financial capability work in the United States. Meanwhile, the design and integration of health care IT system such as EMR is also fragmented—provider organizations work with different vendors to build encrypted system, making it extremely difficult for inter-organizational communication and sharing of patient information. Third, a larger discussion about enhancing transparency via communication mechanism in health care IT is necessary for all key parties involved, from regulators, providers, technology companies to patients. Unfortunately, in many provider organizations, there is a lack of incentive for different specialists to speak to each other. Stakeholders such as hospitals, health care IT companies and communication agencies should not overlook the potential opportunities.
We provide our health plan clients with value-based recommendations and solutions that will meet their goals and that will ensure their financial protection.
To respond, many health plans are working on a strategy whereby they can capture or grow market share in the self-funded employer space.
Under this structure, the health plan maintains a level of control over the pricing and the servicing of the stop-loss program. In 2011, this process saved groups an average of 24% using a disciplined, qualification-driven procurement approach. We seek input from and collaborate with consumers, industry, government entities, and other external stakeholders. The Dodd-Frank Act increased accountability in government by consolidating consumer financial protection authorities that had existed across seven different federal agencies into one, the newly formed Consumer Financial Protection Bureau.
In addition, as Porter mentioned, highly relevant clinical data are often not recorded by EMR and “much outcome information is buried ‘free text’ fields within clinician notes,” which contributes to a lack of information sharing among physicians from the same provider organization. While this is a fairly mature market in which third party administrators, insurance companies and reinsurance companies have been entrenched for many years, health plans bring a value proposition that challenges some of the most mature players. Write Employer Stop-Loss Directly – The health plan may use its own license, where appropriate, and write the employer stop-loss directly. Weighing on both technical and financial scoring, we deliver simplicity, savings and superior benefits. These authorities include the ability to issue regulations under more than a dozen Federal consumer financial laws. The Bureau treats the information collected from participating persons and institutions consistently with our confidentiality regulations and all data and analyses are subject to legal and privacy review prior to their release.
Current system does not provide sufficient communication support for members of the care team—it not only makes it difficult for physicians from different institutions to exchange information, but also discourages communication within the same provider organization. When doctors are paid for by the volume of service they provide, they naturally want to perform more procedures than collaborating with someone outside of the unit. At the same time it may work with a reinsurer to assist in program pricing, product filing, and risk transfer.
A long and painful change of organizational culture is something also needs to be addressed along with the payment reform. With the consolidation of existing and new authorities under one roof, the CFPB is now focused and equipped to prevent financial harm to consumers while promoting practices that benefit consumers across financial institutions.



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