Jump to content

Health Advocate: Difference between revisions

From Wikipedia, the free encyclopedia
Content deleted Content added
top: USA is deprecated per MOS:NOTUSA, and {{Reflist}} using AWB
Healthcare Advocates, Inc. vs Health Advocate, Inc.: Remove trademark lawsuit b/c no evidence of Healthcare Advocates Inc. notability
Tags: Mobile edit Mobile app edit Android app edit
 
(47 intermediate revisions by 26 users not shown)
Line 1: Line 1:
{{Short description|American business (2001-)}}
{{Multiple issues|
{{Multiple issues|
{{advert|date=August 2013}}
{{advert|date=August 2013}}
{{COI|date=February 2014}}
{{COI|date=February 2014}}}}
}}


{{Infobox company
{{Infobox company
Line 17: Line 17:
}}
}}


'''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.<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]]. 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=[[Society for Human Resource Management#Publications and events|SHRM HR Magazine]]|url=http://moss07.shrm.org/Publications/hrmagazine/EditorialContent/Pages/0806SRwells.aspx|accessdate= February 15, 2010}}</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 Wellness Advocate, Benefits Gateway+Health Information Dashboards, EAP and Worklife, Pricing Decision Support, Personalized Health Communications, Chronic Care Management, and HR [[solution]]s. The company offers a direct-to-consumer advocacy service, called Health Proponent to individuals who are not part of groups.
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==
==Products and services==
'''Core advocacy'''
'''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>Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004</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>
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.<ref>Diamond, Frank. “Plan Lets Ombudsman Go To Bat for Members,” Managed Care October 2004</ref>

'''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.<ref>Cranshaw, Dave. “Gen Plumbing institutes long-term wellness plan.” Providence Business News 2–8 January 2006</ref>
*'''Employee Assistance Program (EAP)/ WorkLife''' provides counseling and work/life services, referrals to counselors and other appropriate agencies.
*'''Enrollment Advocate''' answers employees’ questions about health plan options and features during an organization’s annual open enrollment period.<ref>George, John. “Health Advocate has the answers to health questions.” The Philadelphia Business Journal 2–8 October 2009.</ref>
*'''Medical Bill Saver''' helps negotiate discounts on non-covered or out-of-network medical claims.<ref>George, John. “Health Advocate has the answers to health questions.” The Philadelphia Business Journal 2–8 October 2009.</ref>
*'''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.<ref>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.</ref>


==Coverage==
==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> According to one client, [[Wawa Food Market]]'s director of [[compensation and benefits]], "As an employer there's a limit to what we can do for our employees. For us it made sense to have this service available, where our associates can reach out to somebody who knows the ins and outs of the health-care business."<ref>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.</ref> The company's services are available 24 hours a day, 7 days a week.<ref>Burgess, Dave “Dealers sign with health advocacy service,” Western Business News November 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.
Those whose employers do not offer the service can purchase it from Health Advocate's direct-to-consumer arm Health Proponent.

==Awards==
*Ranked in [[Inc. (magazine)]] Top 5,000 Companies by Industry – Health: six years in a row (2006-2012)<ref>http://www.inc.com/inc5000/2007/lists/top100-industry-health.html?o=0&c=200701140</ref>
*2007 Ranked 3 in [[Inc. (magazine)]] Top 5,000 Companies by Metro Region—Philadelphia-Camden-Wilmington, PA-NJ-DE<ref>http://www.inc.com/inc5000/2007/lists/top100-metro-regions-Philadelphia-Camden-Wilmington-PA-NJ-DE.html?o=0&c=200701140</ref>
*2008 [[Inc. (magazine)]] 500: America’s Fastest Growing Private Companies<ref>http://www.inc.com/inc5000/2008/company-profile.html?id=200809840</ref>
*2009 [[Inc. (magazine)]] 500: America’s Fastest Growing Private Companies<ref>http://www.inc.com/inc5000/2009/company-profile.html?id=200912210</ref>
*Ranked in the Philadelphia 100 Fastest Growing Private Companies 6 years in a row (2006-2012), [[Philadelphia Business Journal]]/ Wharton Small Business Center,<ref>http://whartonsbdc.wharton.upenn.edu/philadelphia100/philadelphia100_2006.pdf</ref>
*2007 Top 20 Best Places to Work, Philadelphia Magazine<ref>http://www.phillymag.com/articles/features_the_20_best_companies/page2</ref>
*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>
*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>
*[[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>
*2009 Eastern Technology Council - Life Sciences CEO of the Year - Mike Cardillo Winner<ref>http://www.easterntechnologycouncil.org/ea/winners.aspx</ref>
*2010 IBPA Benjamin Franklin Award, Bill Fisher Award for best First Book (non-fiction) – Martin Rosen and Abbie Leibowitz, M.D.<ref>http://ibpabenjaminfranklinawards.com/archives/</ref>


==Published works==
==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 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
* 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
* 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
* 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 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
* 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., 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
* 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. “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
* 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
* 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. “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
* 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
* Chiaro MSW, LSW, Michelle. "The Role of Social Work in Health Advocacy." Social Work Today Newsletter August 2010

== See also ==
* [[Health Insurance Innovations]]
* [[Health insurance]]


==References==
==References==
{{Reflist}}
{{Reflist}}

==External links==
* [http://www.HealthAdvocate.com/ Health Advocate]


[[Category:Companies based in Montgomery County, Pennsylvania]]
[[Category:Companies based in Montgomery County, Pennsylvania]]
Line 80: Line 59:
[[Category:2001 establishments in Pennsylvania]]
[[Category:2001 establishments in Pennsylvania]]
[[Category:Health care companies established in 2001]]
[[Category:Health care companies established in 2001]]
[[Category:Health care companies based in Pennsylvania‎]]
[[Category:Health care companies based in Pennsylvania]]
[[Category:Privately held companies based in Pennsylvania]]
[[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]]

Latest revision as of 12:32, 7 November 2023

Health Advocate
Company typePrivate
IndustryHealth care
Founded2001 (2001)
FounderMichael Cardillo
Arthur "Abbie" Leibowitz, M.D.
Thomas Masci, Jr.
David Rocchino
Martin Rosen
Headquarters,
ServicesHealth advocacy
Number of employees
640
Websitewww.healthadvocate.com

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

[edit]

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

[edit]

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

[edit]
  • 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

See also

[edit]

References

[edit]
  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
  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