HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-based model that helps ensure the best clinical outcomes while eliminating inappropriate tests and procedures and controlling unnecessary costs. Proven to outperform traditional prior authorization, the HealthHelp consultative approach finds a solution for every clinical scenario. Our objective is to consistently do the right thing for members, providers, and health plan partners. HealthHelp’s specialty benefits management programs are vast and include: Cardiology, Radiology, Oncology, Musculoskeletal, and Sleep Care.
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16945 Northchase Drive
Suite 1200
Houston, Texas 77060, US
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Healthcare Talent Acquisition & Corporate Human Resources | Employee Engagement & Wellness Advocate | Retention Connoisseur
HealthHelp is looking for its next HR Manager! This position is fully remote and requires 7 years of HR Generalist/HRBP experience and 3 years of talent acquisition/recruitment experience. Apply online or share for your network!
When it comes to Utlization Management, it's important to partner with an accredited partner. HealthHelp maintains the highest standards of care and service! We hold multiple certifications to ensure quality: NCQA UM Certification, URAC Health Utilization Accreditation, HITRUST Certification, and CMS Quality Improvement Organization Status. Ready to work with the most qualified firmed in UM, check out our offerings: https://lnkd.in/ecqnjU8
HealthHelp Advances EMR Integration with A New Partnership Exciting News! We are proud to announce our strategic partnership with Humata Health, which is a major milestone in enhancing patient care with advanced EMR integration. Together, we are setting new standards in healthcare interoperability and automation. Check out our press release here: https://lnkd.in/gd6qUV5B #HealthcareInnovation #EMRIntegration #PatientCare
Looking to Tackle Cancer Costs and Complexity through Early Engagement? Cancer treatments continue to increase in costs with an overall spend projected to hit $375B worldwide by 2027 – a 95% increase from 2022. In the US alone, 2M+ new cancer diagnoses are expected in 2024. If you are looking for a way to cut cost while increasing provider relations and enhancing patient journeys, check out HealthHelp's Oncology Program: https://lnkd.in/gjBvc7a9
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C-Suite Healthcare Leader I Growth, Marketing, Revenue Operations and Client Services I Managed Care I Specialty Healthcare I BPM I Healthcare Technology I Data Analytics
Early detection is crucial in cancer treatment, and genetic testing is emerging as a game-changer to identify hereditary risk factors and allow for proactive preventive measures. With over 200 hereditary cancer syndromes identified, the complexity of genetic testing is undeniable. Tests can analyze single genes or panels of 30-100 genes, contributing to a global genetic testing spend exceeding $22.8 billion this year. HealthHelp partners with InformedDNA to simplify the genetic test ordering process, matching the diagnosis to the right test at the right facility. How can HealthHelp manage the complexities of genetic testing to enhance your Members' outcomes? #CancerPrevention #GeneticTesting #EarlyDetection #PersonalizedMedicine
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C-Suite Healthcare Leader I Growth, Marketing, Revenue Operations and Client Services I Managed Care I Specialty Healthcare I BPM I Healthcare Technology I Data Analytics
An approach to Utilization Management that has gained attention is Provider Gold Carding, where certain Physicians are exempted from prior authorization based on their history of high-quality, appropriate care. The purpose of Gold Carding is to streamline the approval process, reduce administrative expenses, provide faster patient care and decrease provider frustration while maintaining oversight on those with less consistent track records. HealthHelp provides Gold Carding services to our Clients, having developed robust evaluation criteria and creating in depth monitoring systems. Gold Carding offers the potential of increased efficiencies and satisfaction, however it also comes with risks of Provider bias. The jury is still out if reduced oversight increases overutilization, but whether State law or organizational priorities, HealthHelp can provide a compliant Gold Carding component of any of our specialty benefit management programs. #utilizationmanagement
A heartfelt thank you to everyone who made #AHIP2024 truly memorable. We're honored to have been a part of this event, and we look forward to continuing the conversation in the days ahead. Together, we're shaping the future of healthcare for the better! #specialtybenefitsmanagement #healthhelp
Dawn breaks on the final day of #AHIP2024 A big shout out to everyone we have met during this extraordinary event. It was our pleasure! There is still time to stop by to meet the HealthHelp team and learn how we are innovating specialty benefits management for health plans. Booth #1827. #specialtybenefitsmanagement
#AHIP2024 Day 1 is underway! Don’t miss HealthHelp at booth 1827. Come see how our utilization management programs allow health plans to ensure appropriate care for members across several key clinical lines and lower overall cost per case wile reducing provider friction. With our suite of clinical solutions inculding Cardiology, radiology, oncology, musculoskeletal, sleep care and our NEW genetic testing program, your health plan could benefit from: • Up to a 30% reduction in spend by specialty • Overall 5:1 ROI or greater • Industry leading 60 NPS and 98% satisfaction rating from providers #utilizationmanagement #benefitsmanagement