ihrm-benefitinformatics

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Identifying Healthcare Risk Print E-mail

You can only manage what you measure - data is the key

IHRM members experience in health claims administration and data analysis consistently illustrates that 80% of plan costs come from 20% of the covered population - those with chronic illnesses such as asthma, diabetes or high blood pressure, or less than healthy lifestyles that typically lead to chronic illness. In order to take health plan dollars further, IHRM members apply several strategies to identify existing and potential healthcare risks within your covered population.

  • Survey current employees

  • Review utilization and prior claims

  • Health risk assessments

  • Personal wellness plans

  • Track health activities

Mitigating healthcare risk

Choosing a healthcare benefit plan without identifying your overall cost of risk is like getting behind the wheel of your car without choosing a destination. Managing healthcare risk enables companies to control healthcare costs, offer more meaningful plan designs and increase overall employee satisfaction.

  • Care for chronic illness

  • Proactive care management

  • Manage pharmacy benefits

  • Employee education

  • Encourage behavorial change