Employers

It's a "benefit" for a reason...

Employer-sponsored health insurance remains the most common type of health coverage in the United States – a desirable benefit for current & would-be employees.

If you offer healthcare benefits to your employees then that means healthcare data (in the form of claims) exist about them and (if applicable) their dependents.

Does your organization have access to this data?

  1. Depending on whether you are fully-insured (i.e., health plan assumes financial risk) or self-insured (i.e., YOU assume financial risk), we can help you get access to the appropriate types & levels of data.
  2. If needed, we can also mine your data for opportunities to manage your healthcare costs.

Do you currently use the data to understand your own utilization & spending behaviors, along with the behaviors of your plan members, and act on these findings (good or bad)?

  1. How are your costs and utilization trending over the last 3-5 years?
  2. What are your plan members’ total annual liabilities?
  3. What types of services are your plan members receiving?
  4. Where are they going to get care?
  5. Are they going out-of-network?  Are they going to more expensive providers?
    Are there but a handful of members accounting for a significant portion of your healthcare spend?

If you're struggling to answer the above (or similar) questions, don't worry. We are here to support you! Our team of experts have worked with health plans, employers, brokers & consultants. We understand claims data!

Management

Employees

When it comes to healthcare, the United States has a literacy & transparency problem.

The Affordable Care Act (Obamacare) defines health literacy as “the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions.”

 

Skills in reading, writing, math, communication – even technology – are required to navigate the U.S. healthcare system. Sadly, research shows that U.S. health literacy is low - so low that many Americans (regardless of demographics AND with health insurance!) can't correctly define “basic” terms like a deductible or coinsurance - the very costs they are responsible for paying!

 

Lower health literacy leads to:

  • Poorer health
  • Higher rates of hospitalization
  • Less use of preventive care services
  • More (unnecessary) trips to the emergency room
  • Lower medication adherence

In addition, it costs billions of dollars every year and puts undue financial stress on individuals & families.

  • Financial stress can impact a person's physical & mental health which, in turn, leads to reduced productivity & absenteeism in the workplace.
  • Ultimately, health literacy IS financial literacy.
  • If people can be educated and empowered to act on increased financial knowledge - which many employers offer as a perk - then improving their sense of health literacy & awareness should also be emphasized & made available in the workplace.

Employees can improve their health literacy by learning from actual industry "insiders" - medASTUTE!

Being a consumer has never been easier...

  • Information literally at your fingertips!
  • Retail, travel & other industries have adopted transparent pricing and expect — and even assist — their customers to shop for the best value.

…Except when it comes to healthcare

  • Our industry has adopted transparency at a snail’s pace.
  • Healthcare consumers don't know what they will pay until AFTER treatment occurs.
  • Can you imagine United Airlines telling you the price of airfare AFTER you fly!?

Don't fret…employees can rest assured that they can shop around for medical care today. We can help.

Value Proposition

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Providers

Clinical burnout, staff shortages & cutbacks, modified & new regulations (e.g., modified E/M coding guidelines, Hospital Price Transparency Rule) – these are some of the issues hospitals & physicians face as they try to balance managing patient care with avoiding going into the “red”.

Our credentialed experts can help you tackle these challenges head on.

Value Proposition

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Payers

  1. Does your organization have any plans of implementing an analytical & reporting solution to help manage the cost & care of your population?
  2. Have you recently implemented a new business intelligence tool but are unsure how to maximize its utility and, ultimately, your ROI?
  3. Do you have a small team or department of “analysts” who are constantly bogged down by non-analytical work like mindlessly generating countless reports?
  4. Unsure how or why your population’s cost & utilization trends are negative or positive?
  5. Do you have difficulty articulating your value proposition to your insured members?

If you answered “yes” to ANY of the questions above, you are not alone, and we can help.

Value Proposition

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Partners

We don’t claim to know or do everything. That’s what partners are for!

We align ourselves with individuals & organizations that complement and augment our respective capabilities to meet client needs.

Value Proposition

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Contact us today!

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