health insurance cost reduction

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Healthentic Measure & Improve the Health of Your Employee Population. 9706 4th Ave NE, Suite 208, Seattle, WA 98115 Email: [email protected] Phone: (206) 729-5577 http://www.healthenti c.com/

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Page 1: Health Insurance Cost Reduction

HealthenticMeasure & Improve the Health of Your Employee Population.

9706 4th Ave NE, Suite 208, Seattle, WA 98115Email: [email protected]

Phone: (206) 729-5577

http://www.healthentic.com/

Page 2: Health Insurance Cost Reduction

Healthcare costs continue to riseHealthcare data is unwieldy, and not historically “owned” by internal decision makersBenefits program manipulation no longer a “win-win”, more options are neededCurrent methods leave significant money on the tableWellness programs are rarely comprehensive and struggle to prove “bottom line” savingsProgram planning, measurement, and reporting cycles are shrinking

Pain in Providing Benefits

Page 3: Health Insurance Cost Reduction

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CARRIER DATA BROKER REPORTS

Dental Carrier

Wellness

Program

2

Medical Carrier 1

Wellness Program

Rx

CarrierMedical Carrier 2 Report 1 Report 3 Report 5

Report 2Report 4

Report 6

Current Experience

?Spreadsheets

Fragmented

Self reported

NoAccount-

ability

More Data

What now?

?INSIGHTS

ACTION PLAN

+SAVINGS ?

Page 4: Health Insurance Cost Reduction

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Simplify awareness, accelerate positive resultsHealthentic Dashboard

Page 5: Health Insurance Cost Reduction

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Are your health and wellness programs working?Program Tracking

Page 6: Health Insurance Cost Reduction

1. High prevalence of High Cholesterol within your population = 23%• Member # trending up over time• Population accounts for 49% of TOTAL Med and Rx cost• 25% of this population needs to improve medication adherence

2. Spondylosis (Back Pain) = 2nd highest cost in Top Diagnoses• $77,299 in 2013• 125 unique members with 507 visits = approx. 4 visits per member• Opportunities: Ergonomic Education Campaign

3. Diabetes – members on the rise since 2012     • Majority of this population also has a 2nd condition• Areas for improvement: meeting “standard of care”, improving medication adherence and adhering to routine

dental check-ups

4. Medical examination/evaluation – high utilization is ideal for preventive care• Only 192 unique members in 2013

5. High prevalence of High Blood Pressure within your population = 21%• Population accounts for 48% of TOTAL Med and Rx cost• 305 unique members with 678 visits• 63 members need to improve medication adherence

Plan Design

Member Communication

Case Studies

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Resources to Make Changes in your Population HealthInformation to Act

Page 7: Health Insurance Cost Reduction

Managing population health is hard because your data is nearly impossible to get together, the various vendors reporting on your population health data have a vested interest in continuing their services

Where do you start, which people do you engage, is now the best time? Whew!

Healthentic is your champion from data to savings.

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1Gather all your data together

Your partner every step of the way

Page 8: Health Insurance Cost Reduction

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Thank You9706 4th Ave NE, Suite 208, Seattle, WA 98115

Email: [email protected] Phone: (206) 729-5577

http://www.healthentic.com/