On average, 5% of health plan members generate 50% of the claims. Many of these claims are due to ongoing chronic diseases. Often, these chronic diseases are linked to lifestyle choices such as smoking, inactivity, and/or poor eating habits.
Recently, Boston Benefit Partners identified $4 million in claims relating to the needs of diabetic members of a large multi-state client. With our assistance, the client then created a specialized claims management program aimed at providing a 3:1 return on investment for this chronic disease.
Unfortunately, health insurance carriers offer a wide-variety of "wellness programs" that fail to produce such clear results. Understanding this, our approach is grounded in detailed claim utilization reports and diagnostic data which enables us to create a plan that meets your objectives.
In addition, we understand that implementation and monitoring are key factors to achieving the goals of your wellness program. We work to create a detailed action plan that addresses the overall scope of the program as well as the critical functions involved in day-to-day operations.
The end result ensures a plan that delivers measurable savings on your organization's bottom line.
For additional information on wellness / informatics email Piper McNealy at firstname.lastname@example.org, or call us at 617-570-9100.