Few employers fully using available data to effect change
Mid-sized employers are woefully behind the times when it comes to using data to make benefits decisions and manage down costs, especially considering the massive amount of information captured through claims processing. A wealth of data exists to track cost trends, benchmark utilization, identify outliers, and uncover savings opportunities; yet, few employers use it effectively.
Too reliant on third-party administrators
Gaining insight from claims data is difficult because the keepers of the information—third-party administrators and pharmacy benefit managers—have little incentive to mine it for clients. Most employers tell us it takes months for their third-party administrators to respond to requests for customized analyses, so benefits managers have lowered their expectations accordingly.
Large employers tackle this problem by putting their own number crunchers on the case, but employers covering fewer than 20,000 lives don’t usually have the resources to do the same. These HR departments lack the staff capacity—as well as the analytic and clinical expertise—to effectively mine claims data for insight.
Take control through analytics, dedicated support
Employee Health Compass bridges this gap by providing the technology, expertise, and staff to harness the power of claims data. Our technology platform processes all relevant data—including medical and pharmacy claims, eligibility files, plan design, and biometric data—to quickly isolate what is driving cost.
Our dedicated advisors, meanwhile, work closely with members to uncover waste and prioritize savings opportunities. Their advanced analytic abilities, combined with our staff’s deep clinical expertise, finally give mid-sized employers command over their data, opening the door to precise, timely, and effective management of benefit spend.
“Prior to this, all our decisions were primarily made by gut feel. We kind of knew where we might be able to make changes, but the specific data gave us real opportunity to focus.”
—Vice President, Human Resources
Mid-Atlantic health system
See how we reversed the cost trend at Memorial Health System
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