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Health Advocate, Inc. is a US national health advocacy, patient advocacy and assistance company, serving more than 12,800 clients and 40+ million people and offering a spectrum of services to help employers, employees and consumers navigate the healthcare system and facilitate members’ interactions with insurers and providers.〔Dorschner, John. “Healthcare advocacy experts aid workers.” Miami Herald 31 August 2010〕 The privately held company was founded in 2001 by former Aetna executives〔Young, Lauren. “Advocates WhoHelp You Negotiate Healthcare.” BusinessWeek 22 October 2007〕 and is headquartered in Plymouth Meeting, Pennsylvania. The company employs registered nurses, medical directors and benefits specialists who address a range of health care and health insurance issues. Personal Health Advocates can help members locate providers, address errors on medical bills, answer questions about coverage denials and assist with insurance appeals.〔Guterl, Gail O. “Advocating for clients.” Advance for Nurses 9 June 2003〕 The company's products include Wellness Advocate, Benefits Gateway+Health Information Dashboards, EAP and Worklife, Pricing Decision Support, Personalized Health Communications, Chronic Care Management, and HR solutions. The company offers a direct-to-consumer advocacy service, called Health Proponent to individuals who are not part of groups. ==Products and services== Core advocacy *Clinical Assistance – medical and pharmaceutical advice and research.〔Silverman, Ed. “Healthy Backing,” Human Resource Executive May 2003〕 Clinical Assistance helps members understand tests, treatments, and medications recommended or prescribed by physicians, facilitating the transfer of medical records, X-rays, and lab results before a scheduled appointment with a new physician, arranging for home-care equipment after discharge from a hospital, facilitating review of test results with another physician for confirmation of diagnosis, consolidating a multiple-day testing schedule for members with special needs, arranging hospice and other services for the terminally ill, facilitating transfer from a community hospital to a tertiary care facility.〔Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004〕 *Administrative Assistance helps resolve claims and benefits issues, and helps find assistance outside the health plan.〔“Former Aetna Execs See Growth in New Patient Advocacy Company.” Managed Care Week 29 July 2002〕 For example: Researching a member’s outstanding out-of-pocket responsibilities and resolving errors with providers and/or the member’s health plan, correcting balance-billing problems, correcting charges incorrectly applied to the member’s deductible, resolving eligibility problems and benefit and claim denials, coordinating benefits between dental, medical, worker’s compensation, and disability carriers, assuring correct application of provider network status, correcting errors in processing of “blind” network provider discounts, resolving coordination-of-benefits disputes between carriers, satisfying plan requests for copies of referrals, providing correct member insurance information to providers.〔Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004〕 Complementaty solutions *Wellness Advocate provides employers and other plan sponsors with wellness solutions that help employees lose weight, get fit and make other lifestyle changes. The program is designed to reduce risks of diseases, prompt employees to take a role in their healthcare and make informed decisions about their healthcare. The program features access to live Wellness Coaches coupled with health and wellness information.〔Cranshaw, Dave. “Gen Plumbing institutes long-term wellness plan.” Providence Business News 2–8 January 2006〕 *Employee Assistance Program (EAP)/ WorkLife provides counseling and work/life services to resolve healthcare and insurance-related issues. *Enrollment Advocate answers employees’ questions about health plan options and features during an organization’s annual open enrollment period.〔George, John. “Health Advocate has the answers to health questions.” The Philadelphia Business Journal 2–8 October 2009.〕 *Medical Bill Saver helps negotiate discounts on non-covered or out-of-network medical claims.〔George, John. “Health Advocate has the answers to health questions.” The Philadelphia Business Journal 2–8 October 2009.〕 *Benefits Gateway+Health Information Dashboards offers a service that gets employees to the right benefit, through a single toll-free number. The dashboard uses algorithms to interpret data from multiple sources and provide a snapshot of member information about benefits use and health indicators.〔George, John (2–8 October 2009). "Health Advocate has the answers to health questions". Philadelphia Business Journal. http://philadelphia.bizjournals.com/philadelphia/stories/2009/10/05/focus2.html. Retrieved February 15, 2010.〕 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Health Advocate」の詳細全文を読む スポンサード リンク
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