Marie Katz, Senior Analyst
Is your organization experimenting with population health? HR leaders have a unique opportunity to pilot population health strategies for their organizations—with their employees.
Successful population health managers segment their overall patient population into three distinct groups: high-, rising-, and low-risk patients. And you have to take a different approach to care for each of these groups.
Read on to learn how to apply leading population health managers' strategies to your own employees.
Think of three separate employee groups
Successful population health managers segment their overall patient population into three distinct groups based on level of risk. HR leaders can do the same with their workforce.
Group 1: High-risk employees
High-risk employees have at least one complex illness, multiple comorbidities, and psychosocial problems. These employees make up about 5% of the workforce and drive the majority of spending in any given year.
There are two main goals for managing high-risk employees: provide intensive, comprehensive, proactive management and trade high-cost acute care services for low-cost care management wherever and whenever it is clinically effective to do so.
Learn more about building a better case management program for employees
Group 2: Rising-risk employees
Rising-risk employees have multiple risk factors that could push them into the high-risk category if left unaddressed, such as a diabetic employee who is also obese and smokes. Rising-risk employees typically represent 15%-35% of the population—and in any given year, about 20% of rising-risk employees become high-risk.
There are two overarching goals for managing rising-risk employees: avoid unnecessary spending and keep these employees from becoming high-risk.
Group 3: Low-risk employees
Low-risk employees are generally healthy, and, if they have a chronic condition, it is well-managed. Roughly 70% of employees tend to fall into this category. For low-risk employees, there are two main goals: keep the employees healthy and within the system.
Learn More At Our Special Two-Day Session
Want more on using population health management strategies with your workforce?
Join us in October for a two-day, interactive meeting focusing exclusively on improving population health within your employee population. Don't miss this opportunity to learn from HR leaders with unique experience in reducing costs of employee health care.