- Do you want to proactively manage the health of your workforce and their dependents while controlling medical spend?
- Do you want to determine if the funds invested in your health plan or wellness strategies are effectively improving the health of your team?
- Do you want to identify where your group’s medical spend waste exists and strategize on how to redirect that waste into more beneficial services?
- Do you have a way to identify and therefore help the individuals who will likely be next year’s large claims (the 5% -> 50%)?
- Do you have the resources to develop a population health strategy to lower:
- Your current medical spend?
- The health risks of your workforce and their family?
- The fastest growing (and seemingly least controllable) company expense?
- Do you want to improve accountability and metrics for all vendors charged with managing health risks and costs?
SYSTEM HIGHLIGHTS
Real-Time Claims Data
Monthly claims feed gives our team of professionals up-to-date information and facilitates early identification of trends and areas of opportunity.
Segmentation
Our analytics tool offers the flexibility to divide and distill data in a variety of ways, including: experience period, service type, service location, provider divisions/locations, member type and chronic disease prevalence/ care. This allows for detailed analysis of utilization patterns—all within a HIPAA-compliant secure data environment.
Utilization Tracking
The ability to see and measure utilization patterns of plan participants, as well as sub-populations within the participant base, helps determine the effectiveness of programs like wellness initiatives and disease management.
At-Risk Identification
Using predictive modeling and reporting, we help clients find and highlight trends that indicate potential at-risk populations. We also help locate gaps in care for current at-risk populations. This data allows for program development to improve the care of your population.