A completely different approach to stave-off future claims and cost
Feeling out of control trying to manage your health plan costs with ineffective measures? If you’re ready for some new thinking about an old problem, we can help.
Our methodology gets more of your high-risk and emerging-risk population proactively engaged with population health management.
When you efficiently get more of the right people identified and connected to the right resources and programs earlier, you will see improved healthcare outcomes for your employees and their families and a corresponding reduction in claims.
How Does It Work?
By combining the power of data analytics and clinical nurse intervention, we can offer you a completely different way to control your healthcare costs.
Our analytics tools expose latent risks in your member population. Then, with clinical nurse intervention, we proactively engage those high-risk and emerging-risk health plan members, who should be receiving medical management services but aren’t.
How Healthy Is Your Benefit Plan?
How would you answer the following questions?
- How is your plan currently running financially versus what was expected in prior years?
- What disease states, categories of care and large claims are driving your company’s costs?
- Which claimants are most likely to drive future healthcare claims?
- How successful are you in preventing or curing disease, and diagnosing it in the earliest stages?
We’ll help you answer these critical questions about your company’s benefits and identify the core cost drivers within your member population.
Let’s Think About Where Costs Come From
Did you know that 87% of a health plan’s costs are attributed to the direct purchase of healthcare services? Most brokers will have you lower benefits, increase employee costs or switch carriers–none of which do anything for long-term cost control for your organization.
Employee Engagement is Tricky
What motivates a person to make significant lifestyle changes is often a mystery–even to behavioral experts. However, we’ve learned that having our clinicians readily available as advocates for your employees makes a major difference. We arm your members with the resources and coaching they need to navigate the healthcare system and help them feel confident and supported as they manage their health journey.
A massive Rand study performed for PepsiCo of more than 67,000 people participating over seven years, found a negative return on traditional wellness efforts and an astounding 4 to 1 positive return on investment in Disease Management efforts. Let’s talk about doing the same at your organization.