Data Analytics & Plan Design

After payroll expense, an employer’s second largest expense is typically related to providing healthcare benefits for their employees and dependents. Innovative Healthcare Teams can assist employers, especially those that are self-insured, to better understand the underlying clinical drivers of their health plan expenses. In collaboration with the employer’s insurer or third-party administrator, we will conduct a clinical claims analysis. The results will identify trends in the clinical costs and risks as well as potential care gaps that exist in their covered member population. With the information gleaned from the clinical and claims data, we can help employers to create a health benefit plan that addresses the unique clinical risks that their employees and dependents face. This knowledge is essential when evaluating employer health plan performance and considering how to optimize an employer health plan design and benefits. We can assist in educating organizational leadership as well as your employees about how this model benefits everyone in the organization.

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