INNOVATIVE HEALTHCARE BENEFIT PLAN COST REDUCTION PROGRAM

For this service to be of great value, you must have a minimum of 2500 plan participants 

Ownership and control starts with connecting disparate data silos

We start by creating a elastic relational data warehouse, which lives in an extremely secure encrypted environment on a cloud-based portal. Each client has their own database which accepts feeds from Ben Admins and Carriers. This allows data to be blended and normalized for continuous (multi-period) in-depth data analysis and lifetime storage.

We show you what’s going on inside your plan today. Clinical data tied to the financial

impact to the plan

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We organize data at the most basic level of healthcare analytics and then we go a step further. We show you high-level views of total block performance and drill down views at a granular level, stratifying risk to identify what each member is likely to cost the plan over the next 12 months . 

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• Gain insights of global risk factors within a population 

• Identify historic patterns 

• Stratify risk 

• Identify high-cost drivers and accelerating conditions 

• Define relationships at a granular level 

• Define major diagnostic groups/codes 

• Define pharmacy specialty drug costs 

Predict risk with greater accuracy to identify trends sooner in an unbiased, transparent and

cost-effective way

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We predict risk more accurately and much faster than traditional methods. We construct forecast models on actual data to uncover more insights of current plan costs and future clinical risks – unprecedented detail that can be used to maintain a competitive benefits program while controlling costs. 

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• Analysis of medical & Rx claims using actuarial science 

• Predict future trend for this disease state and the future cost 

• Uncover future clinical risks 

• Improve accuracy and reliability of risk projections 

• Improve the quality of care and reduce Healthplan cost 

We show you what’s going on inside your plan today. Clinical data tied to the financial

impact to the plan 

​

​

​

​

We organize data at the most basic level of healthcare analytics and then we go a step further. We show you high-level views of total block performance and drill down views at a granular level, stratifying risk to identify what each member is likely to cost the plan over the next 12 months . 

​

• Gain insights of global risk factors within a population 

• Identify historic patterns 

• Stratify risk 

• Identify high-cost drivers and accelerating conditions 

• Define relationships at a granular level 

• Define major diagnostic groups/codes 

• Define pharmacy specialty drug costs