"CLS Partners actually studied our employee demographics and structured options tailored to our younger employees while protecting our, shall I say, "more seasoned" staff. We got a better plan and saved money."
Don R. Kuykendall
Chairman of the Board
STRATFOR
The power of data and analytics.
Statistics show that typically 5% of your members are driving 50% of your current claims. And 59% of this year's high-risk claimants were considered healthy just last year. However, most benefit consultants continue to guide their clients using only historical claims performance and the limited information that is currently available regarding ongoing large claimants. This approach simply does not work.
Health Risk Assessments (HRAs) and biometric screenings complete
the picture
Incorporating this data with your clinical and financial claims data provides a more accurate view of your organization's health by identifying more at-risk members as well as potentially unreported risk factors.
Self-reported data enables detection of additional chronic disease cases
In the following example, claims alone identified 592 people with hypertension. By incorporating biometric screenings and HRAs we were able to identify an additional 352 people with this disease.
Self-reporting is invaluable for identifying conditions infrequently subject to direct medical treatment
Fifty to seventy percent of all chronic conditions are tied to preventable or reversible behaviors including obesity, smoking and alcohol use. Yet these conditions often do not show up in claims data, thus increasing the likelihood of manifesting without detection. By performing HRAs and biometric screenings, many such conditions can be identified and steps can be taken to improve health and lower health costs.
HRA risk factors identify high-cost members, particularly when present in combination
As the number of risk factors per participant increases, so does the per member per month cost. Claimants with five or more risk factors require four to six times as much medical care as those members who have three risk factors or less. That's why early detection and intervention are critical to improving employee health and reducing plan costs.
