Health Advocate: Difference between revisions

Health Advocate
Company type	Private
Industry	Health care
Founded	2001
Founder	Michael Cardillo; Arthur "Abbie" Leibowitz, M.D.; Thomas Masci, Jr.; David Rocchino; Martin Rosen
Headquarters	Plymouth Meeting, Pennsylvania, United States
Services	Health advocacy
Number of employees	640
Website	www.healthadvocate.com

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Health Advocate, Inc. is a US national health advocacy, patient advocacy and assistance company.^[1] The privately held company was founded in 2001 by former Aetna executives^[2] and is headquartered in Plymouth Meeting, Pennsylvania, currently run by Teleperformance. The company employs registered nurses, medical directors and benefits specialists^[3]^[4] who address a range of health care and health insurance issues.^[5] Personal Health Advocates can help members locate providers, address errors on medical bills, answer questions about coverage denials and assist with insurance appeals.^[6]

The company's products include brands called Wellness Advocate, Benefits Gateway+Health Information Dashboards, EAP and Worklife, Pricing Decision Support, Personalized Health Communications, Chronic Care Management, and HR. 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.^[7]

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.^[8]

Administrative Assistance helps resolve claims and benefits issues and helps find assistance outside the health plan.^[9]

Coverage

Employers generally offer the service to their employees as a benefit and extension to their healthcare insurance plans. The employee's immediate family is also covered. This includes spouses, dependent children, parents, and parents-in-law.^[10]

Those whose employers do not offer the service can purchase it from Health Advocate's direct-to-consumer arm Health Proponent.

Published works

Rosen, Martin B. & Leibowitz, Abbie. “Health Advocacy Programs Help Employers and Employees Navigate Health Care and Insurance Systems.” Employee Benefit Plan Review Volume 57, Number 4, October 2002
Rosen, Martin B. & Leibowitz, Abbie. “Health Advocacy Helps Employers and Employees Cope with Health Care and Insurance Systems.” HIU Health Insurance Underwriter November 2002
Leibowitz, M.D., Abbie. “What Do Patient Advocates Do?” National Underwriter Vol. 3, No. 2, December 2003
Cardillo, Michael & Rosen, Martin. “Benefits, Challenges of Consumer-Driven Healthcare.” Human Capital January/ February 2004
Rosen, Martin B. & Leibowitz, M.D., Abbie. “Health Advocacy Helps Employers and Employees Cope with Healthcare and Insurance Systems.” Philadelphia SHRM Chapter News February 2004
Rosen, Martin B. & Leibowitz, M.D., Abbie. “Health Advocacy: Saving Time and Money for Employers and Employees.” Employee Benefits August 2004
Leibowitz, M.D., Abbie. “Health advocacy: Strategic complement to consumer-directed Healthcare.” Inside HR/NY September 2004
Leibowitz, M.D., F.A.A.P., Abbie. “The Role of Health Advocacy in Disease Management.” Disease Management Volume 8, Number 3 2005
Rosen, Martin. “Health Advocacy: A New resource for Employers.” Pension & Benefits Update Vol. 16, No. 3, March/ April 2005
Rosen, Martin B. “Health Advocacy: Saving Time and Money for Employers and Employees.” The Healthcare Savings Chronicle Volume 3 August 2005
Martin B. Rosen and Arthur “Abbie” Leibowitz, M.D. coauthored The Healthcare Survival Guide: Cost-Saving Options for the Suddenly Unemployed
Rosen, Martin B. “Simple Ways to Organize Your Older Relatives.” Buttoned Up 6 January 2010
Rosen, Martin B. “Top 10 Ways to manage Eldercare.” S.I. Parent March 2010
Chiaro MSW, LSW, Michelle. "The Role of Social Work in Health Advocacy." Social Work Today Newsletter August 2010

References

^ Dorschner, John. “Healthcare advocacy experts aid workers.” Miami Herald 31 August 2010
^ Young, Lauren. “Advocates WhoHelp You Negotiate Healthcare.” BusinessWeek 22 October 2007
^ George, John (2–8 October 2009). "Health Advocate has the answers to health questions". Philadelphia Business Journal. Retrieved February 15, 2010.
^ Heubeck, Elizabeth (30 November 2007). "Personal health care advocates sell benefits expertise to firms". Baltimore Business Journal. Retrieved February 15, 2010.
^ Wells, Susan J. (1 August 2006). "Independent experts can help employees conquer mountains of medical paperwork, freeing HR to focus on other core concerns". SHRM HR Magazine. Archived from the original on 22 August 2011. Retrieved February 15, 2010.
^ Guterl, Gail O. “Advocating for clients.” Advance for Nurses 9 June 2003
^ Silverman, Ed. “Healthy Backing,” Human Resource Executive May 2003
^ Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004
^ “Former Aetna Execs See Growth in New Patient Advocacy Company.” Managed Care Week 29 July 2002
^ Rotenberg, Carl. “Health move,” The Times Herald 14 May 2003

[1] Dorschner, John. “Healthcare advocacy experts aid workers.” Miami Herald 31 August 2010

[2] Young, Lauren. “Advocates WhoHelp You Negotiate Healthcare.” BusinessWeek 22 October 2007

[3] George, John (2–8 October 2009). "Health Advocate has the answers to health questions". Philadelphia Business Journal. Retrieved February 15, 2010.

[4] Heubeck, Elizabeth (30 November 2007). "Personal health care advocates sell benefits expertise to firms". Baltimore Business Journal. Retrieved February 15, 2010.

[5] Wells, Susan J. (1 August 2006). "Independent experts can help employees conquer mountains of medical paperwork, freeing HR to focus on other core concerns". SHRM HR Magazine. Archived from the original on 22 August 2011. Retrieved February 15, 2010.

[6] Guterl, Gail O. “Advocating for clients.” Advance for Nurses 9 June 2003

[7] Silverman, Ed. “Healthy Backing,” Human Resource Executive May 2003

[auto-8] Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004

[9] “Former Aetna Execs See Growth in New Patient Advocacy Company.” Managed Care Week 29 July 2002

[10] Rotenberg, Carl. “Health move,” The Times Herald 14 May 2003

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+{{Short description|American business (2001-)}}
 {{Multiple issues|
 {{advert|date=August 2013}}
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-'''Health Advocate, Inc.''' is a [[US]] national [[health advocacy]], [[patient advocacy]] and assistance company.<ref>Dorschner, John. “Healthcare advocacy experts aid workers.” Miami Herald 31 August 2010</ref> The privately held company was founded in 2001 by former [[Aetna]] executives<ref>Young, Lauren. “Advocates WhoHelp You Negotiate Healthcare.” BusinessWeek 22 October 2007</ref>  and is headquartered in [[Plymouth Meeting, Pennsylvania]], currently run by [[Teleperformance]].  The company employs registered nurses, medical directors and benefits specialists<ref>{{cite news|last=George|first=John|date=2–8 October 2009|title=Health Advocate has the answers to health questions|work=[[Philadelphia Business Journal]]|url=http://philadelphia.bizjournals.com/philadelphia/stories/2009/10/05/focus2.html|accessdate= February 15, 2010}}</ref><ref>{{cite news|last=Heubeck|first=Elizabeth|date=30 November 2007|title=Personal health care advocates sell benefits expertise to firms|work=[[Baltimore Business Journal]]|url=http://baltimore.bizjournals.com/baltimore/stories/2007/12/03/focus1.html|accessdate=February 15, 2010}}</ref> who address a range of [[health care]] and [[health insurance]] issues.<ref>{{cite news|last=Wells|first=Susan J.|date=1 August 2006|title=Independent experts can help employees conquer mountains of medical paperwork, freeing HR to focus on other core concerns|work=[[HR Magazine|SHRM HR Magazine]]|url=http://moss07.shrm.org/Publications/hrmagazine/EditorialContent/Pages/0806SRwells.aspx|accessdate=February 15, 2010|url-status=dead|archiveurl=https://web.archive.org/web/20110822123731/http://moss07.shrm.org/Publications/hrmagazine/EditorialContent/Pages/0806SRwells.aspx|archivedate=22 August 2011}}</ref>  Personal Health Advocates can help members locate providers, address errors on medical bills, answer questions about coverage denials and assist with insurance appeals.<ref>Guterl, Gail O. “Advocating for clients.” Advance for Nurses 9 June 2003</ref>
+'''Health Advocate, Inc.''' is a [[US]] national [[health advocacy]], [[patient advocacy]] and assistance company.<ref>Dorschner, John. “Healthcare advocacy experts aid workers.” Miami Herald 31 August 2010</ref> The privately held company was founded in 2001 by former [[Aetna]] executives<ref>Young, Lauren. “Advocates WhoHelp You Negotiate Healthcare.” BusinessWeek 22 October 2007</ref>  and is headquartered in [[Plymouth Meeting, Pennsylvania]], currently run by [[Teleperformance]].  The company employs registered nurses, medical directors and benefits specialists<ref>{{cite news|last=George|first=John|date=2–8 October 2009|title=Health Advocate has the answers to health questions|work=[[Philadelphia Business Journal]]|url=http://philadelphia.bizjournals.com/philadelphia/stories/2009/10/05/focus2.html|accessdate= February 15, 2010}}</ref><ref>{{cite news|last=Heubeck|first=Elizabeth|date=30 November 2007|title=Personal health care advocates sell benefits expertise to firms|work=[[Baltimore Business Journal]]|url=http://baltimore.bizjournals.com/baltimore/stories/2007/12/03/focus1.html|accessdate=February 15, 2010}}</ref> who address a range of [[health care]] and [[health insurance]] issues.<ref>{{cite news|last=Wells|first=Susan J.|date=1 August 2006|title=Independent experts can help employees conquer mountains of medical paperwork, freeing HR to focus on other core concerns|work=[[HR Magazine|SHRM HR Magazine]]|url=http://moss07.shrm.org/Publications/hrmagazine/EditorialContent/Pages/0806SRwells.aspx|accessdate=February 15, 2010|url-status=dead|archiveurl=https://web.archive.org/web/20110822123731/http://moss07.shrm.org/Publications/hrmagazine/EditorialContent/Pages/0806SRwells.aspx|archivedate=22 August 2011}}</ref>  Personal Health Advocates can help members locate providers, address errors on medical bills, answer questions about coverage denials and assist with [[Health insurance|insurance]] appeals.<ref>Guterl, Gail O. “Advocating for clients.” Advance for Nurses 9 June 2003</ref>
 The company's products include brands called Wellness Advocate, Benefits Gateway+Health Information Dashboards, EAP and Worklife, Pricing Decision Support, Personalized Health Communications, Chronic Care Management, and HR. The company offers a direct-to-consumer advocacy service, called Health Proponent to individuals who are not part of groups.
@@ Line 22: / Line 23: @@
 ==Products and services==
 '''Core advocacy'''
-*'''Clinical Assistance''' – medical and pharmaceutical advice and research.<ref>Silverman, Ed. “Healthy Backing,” Human Resource Executive May 2003</ref>
+* '''Clinical Assistance''' – medical and pharmaceutical advice and research.<ref>Silverman, Ed. “Healthy Backing,” Human Resource Executive May 2003</ref>
 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.<ref name="auto">Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004</ref>
+* '''Administrative Assistance''' helps resolve claims and benefits issues and helps find assistance outside the health plan.<ref>“Former Aetna Execs See Growth in New Patient Advocacy Company.” Managed Care Week 29 July 2002</ref>
-*'''Administrative Assistance''' helps resolve claims and benefits issues, and helps find assistance outside the health plan.<ref>“Former Aetna Execs See Growth in New Patient Advocacy Company.” Managed Care Week 29 July 2002</ref>
-==Healthcare Advocates, Inc. vs Health Advocate, Inc.==
-In October 2004, Kevin Flynn, the sole employee of Healthcare Advocates Inc. and the latter company, which Flynn had formed in 1996, sued Health Advocate Inc. claiming trademark infringement and unfair competition. On 8 February 2005, the suit was dismissed on [[summary judgement]] by the [[United States District Court for the Eastern District of  Pennsylvania]], upheld on appeal on 22 February 2006 by the [[United States Court of Appeal for the Third Circuit]].<ref>{{Cite journal|date=2006-02-22|title=Flynn v. Health Advocate Inc|url=https://digitalcommons.law.villanova.edu/thirdcircuit_2006/1551|journal=2006 Decisions}}</ref>
 ==Coverage==
-Employers generally offer the service to their employees as a benefit and extension to their healthcare insurance plans. The employee's immediate family is also covered. This includes spouses, dependent children, parents and parents-in-law.<ref>Rotenberg, Carl. “Health move,” The Times Herald 14 May 2003</ref>
+Employers generally offer the service to their employees as a benefit and extension to their healthcare insurance plans. The employee's immediate family is also covered. This includes spouses, dependent children, parents, and parents-in-law.<ref>Rotenberg, Carl. “Health move,” The Times Herald 14 May 2003</ref>
 Those whose employers do not offer the service can purchase it from Health Advocate's direct-to-consumer arm Health Proponent.
-==Awards==
+==Published works==
+* Rosen, Martin B. & Leibowitz, Abbie. “Health Advocacy Programs Help Employers and Employees Navigate Health Care and Insurance Systems.” Employee Benefit Plan Review Volume 57, Number 4, October 2002
-*Ranked in [[Inc. (magazine)]] Top 5,000 Companies by Industry – Health: six years in a row (2006-2012)<ref>{{Cite web |url=http://www.inc.com/inc5000/2007/lists/top100-industry-health.html?o=0&c=200701140 |title=Archived copy |access-date=2010-03-04 |archive-url=https://web.archive.org/web/20110606045907/http://www.inc.com/inc5000/2007/lists/top100-industry-health.html?o=0&c=200701140 |archive-date=2011-06-06 |url-status=dead }}</ref>
+* Rosen, Martin B. & Leibowitz, Abbie. “Health Advocacy Helps Employers and Employees Cope with Health Care and Insurance Systems.” HIU Health Insurance Underwriter November 2002
-*2007 Ranked 3 in [[Inc. (magazine)]] Top 5,000 Companies by Metro Region—Philadelphia-Camden-Wilmington, PA-NJ-DE<ref>{{Cite web |url=http://www.inc.com/inc5000/2007/lists/top100-metro-regions-Philadelphia-Camden-Wilmington-PA-NJ-DE.html?o=0&c=200701140 |title=Archived copy |access-date=2010-03-04 |archive-url=https://web.archive.org/web/20110606045918/http://www.inc.com/inc5000/2007/lists/top100-metro-regions-Philadelphia-Camden-Wilmington-PA-NJ-DE.html?o=0&c=200701140 |archive-date=2011-06-06 |url-status=dead }}</ref>
+* Leibowitz, M.D., Abbie. “What Do Patient Advocates Do?” National Underwriter Vol. 3, No. 2, December 2003
-*2008 [[Inc. (magazine)]] 500: America's Fastest Growing Private Companies<ref>{{Cite web |url=http://www.inc.com/inc5000/2008/company-profile.html?id=200809840 |title=Archived copy |access-date=2010-01-27 |archive-url=https://web.archive.org/web/20100623143543/http://www.inc.com/inc5000/2008/company-profile.html?id=200809840 |archive-date=2010-06-23 |url-status=dead }}</ref>
+* Cardillo, Michael & Rosen, Martin. “Benefits, Challenges of Consumer-Driven Healthcare.” Human Capital January/ February 2004
-*2009 [[Inc. (magazine)]] 500: America's Fastest Growing Private Companies<ref>{{Cite web |url=http://www.inc.com/inc5000/2009/company-profile.html?id=200912210 |title=Archived copy |access-date=2010-01-27 |archive-url=https://web.archive.org/web/20090817192131/http://inc.com/inc5000/2009/company-profile.html?id=200912210 |archive-date=2009-08-17 |url-status=dead }}</ref>
+* Rosen, Martin B. & Leibowitz, M.D., Abbie. “Health Advocacy Helps Employers and Employees Cope with Healthcare and Insurance Systems.” Philadelphia SHRM Chapter News February 2004
-*Ranked in the Philadelphia 100 Fastest Growing Private Companies 6 years in a row (2006-2012), [[Philadelphia Business Journal]]/ Wharton Small Business Center,<ref>{{Cite web |url=http://whartonsbdc.wharton.upenn.edu/philadelphia100/philadelphia100_2006.pdf |title=Archived copy |access-date=2010-03-04 |archive-url=https://web.archive.org/web/20100202213731/http://whartonsbdc.wharton.upenn.edu/philadelphia100/philadelphia100_2006.pdf |archive-date=2010-02-02 |url-status=dead }}</ref>
+* Rosen, Martin B. & Leibowitz, M.D., Abbie. “Health Advocacy: Saving Time and Money for Employers and Employees.” Employee Benefits August 2004
-*2007 Top 20 Best Places to Work, Philadelphia Magazine<ref>{{Cite web |url=http://www.phillymag.com/articles/features_the_20_best_companies/page2 |title=Archived copy |access-date=2010-03-04 |archive-url=https://web.archive.org/web/20091008014332/http://www.phillymag.com/articles/features_the_20_best_companies/page2 |archive-date=2009-10-08 |url-status=dead }}</ref>
+* Leibowitz, M.D., Abbie. “Health advocacy: Strategic complement to consumer-directed Healthcare.” Inside HR/NY September 2004
-*2008 CFO of the Year, [[Philadelphia Business Journal]], Finalist<ref>{{cite news| url=http://philadelphia.bizjournals.com/philadelphia/event/4301 | title=CFO of the Year Awards}}</ref>
+* Leibowitz, M.D., F.A.A.P., Abbie. “The Role of Health Advocacy in Disease Management.” Disease Management Volume 8, Number 3 2005
-*2009 CFO of the Year, [[Philadelphia Business Journal]]<ref>{{cite news| url=http://philadelphia.bizjournals.com/philadelphia/stories/2009/07/13/focus6.html | title=Medium Company | date=13 July 2009}}</ref>
+* Rosen, Martin. “Health Advocacy: A New resource for Employers.” Pension & Benefits Update Vol. 16, No. 3, March/ April 2005
-*[[Philadelphia Business Journal]] - 2009 Best Places to Work<ref>{{cite news| url=http://philadelphia.bizjournals.com/philadelphia/stories/2009/10/12/daily49.html?page=3 | title=Philadelphia Business Journal names 2009 Best Places to Work winners | date=16 October 2009}}</ref>
+* Rosen, Martin B. “Health Advocacy: Saving Time and Money for Employers and Employees.” The Healthcare Savings Chronicle Volume 3 August 2005
-*2009 Eastern Technology Council - Life Sciences CEO of the Year - Mike Cardillo Winner<ref>{{Cite web |url=http://www.easterntechnologycouncil.org/ea/winners.aspx |title=Archived copy |access-date=2010-03-04 |archive-url=https://web.archive.org/web/20100330201238/http://www.easterntechnologycouncil.org/ea/winners.aspx |archive-date=2010-03-30 |url-status=dead }}</ref>
+* Martin B. Rosen and Arthur “Abbie” Leibowitz, M.D. coauthored The Healthcare Survival Guide: Cost-Saving Options for the Suddenly Unemployed
-*2010 IBPA Benjamin Franklin Award, Bill Fisher Award for best First Book (non-fiction) – Martin Rosen and Abbie Leibowitz, M.D.<ref>{{Cite web |url=http://ibpabenjaminfranklinawards.com/archives/ |title=Archived copy |access-date=2013-01-08 |archive-url=https://web.archive.org/web/20130113192543/http://ibpabenjaminfranklinawards.com/archives/ |archive-date=2013-01-13 |url-status=dead }}</ref>
+* Rosen, Martin B. “Simple Ways to Organize Your Older Relatives.” Buttoned Up 6 January 2010
+* Rosen, Martin B. “Top 10 Ways to manage Eldercare.” S.I. Parent March 2010
+* Chiaro MSW, LSW, Michelle. "The Role of Social Work in Health Advocacy." Social Work Today Newsletter August 2010
-==Published works==
+== See also ==
+* [[Health Insurance Innovations]]
-*Rosen, Martin B. & Leibowitz, Abbie. “Health Advocacy Programs Help Employers and Employees Navigate Health Care and Insurance Systems.” Employee Benefit Plan Review Volume 57, Number 4, October 2002
+* [[Health insurance]]
-*Rosen, Martin B. & Leibowitz, Abbie. “Health Advocacy Helps Employers and Employees Cope with Health Care and Insurance Systems.” HIU Health Insurance Underwriter November 2002
-*Leibowitz, M.D., Abbie. “What Do Patient Advocates Do?” National Underwriter Vol. 3, No. 2, December 2003
-*Cardillo, Michael & Rosen, Martin. “Benefits, Challenges of Consumer-Driven Healthcare.” Human Capital January/ February 2004
-*Rosen, Martin B. & Leibowitz, M.D., Abbie. “Health Advocacy Helps Employers and Employees Cope with Healthcare and Insurance Systems.” Philadelphia SHRM Chapter News February 2004
-*Rosen, Martin B. & Leibowitz, M.D., Abbie. “Health Advocacy: Saving Time and Money for Employers and Employees.” Employee Benefits August 2004
-*Leibowitz, M.D., Abbie. “Health advocacy: Strategic complement to consumer-directed Healthcare.” Inside HR/NY September 2004
-*Leibowitz, M.D., F.A.A.P., Abbie. “The Role of Health Advocacy in Disease Management.” Disease Management Volume 8, Number 3 2005
-*Rosen, Martin. “Health Advocacy: A New resource for Employers.” Pension & Benefits Update Vol. 16, No. 3, March/ April 2005
-*Rosen, Martin B. “Health Advocacy: Saving Time and Money for Employers and Employees.” The Healthcare Savings Chronicle Volume 3 August 2005
-*Martin B. Rosen and Arthur “Abbie” Leibowitz, M.D. coauthored The Healthcare Survival Guide: Cost-Saving Options for the Suddenly Unemployed
-*Rosen, Martin B. “Simple Ways to Organize Your Older Relatives.” Buttoned Up 6 January 2010
-*Rosen, Martin B. “Top 10 Ways to manage Eldercare.” S.I. Parent March 2010
-*Chiaro MSW, LSW, Michelle. "The Role of Social Work in Health Advocacy." Social Work Today Newsletter August 2010
 ==References==
@@ Line 75: / Line 62: @@
 [[Category:Privately held companies based in Pennsylvania]]
 [[Category:Health insurance in the United States]]
+[[Category:Health insurance]]
+[[Category:Universal health care]]
+[[Category:Health education]]
+[[Category:Public health]]