The challenge
Employer group reporting is getting more complex.
Employer clients expect tailored, actionable analytics, but delivering them is often slowed by complex data, limited insights, and constrained analyst resources.
The solution
Packaged payer analytics help health plans deliver clearer employer group insights.
Employer Group Insights (EGI) streamlines data into packaged, actionable content that helps health plans strengthen employer group reporting, support retention, and drive revenue growth.
As an integral part of the Milliman MedInsight® Payer Platform, EGI enables your organization to:
- Clearly demonstrate your value to employer clients and brokers through intuitive metrics and trusted Milliman benchmarks.
- Surface insights that matter most through guided, analytics-driven workflows.
- Enable broader adoption with a user-friendly experience that does not require deep technical expertise.
- Strengthen client and broker engagement, and support group retention with more strategic reporting.
- Reduce time spent on manual, ad hoc reporting and improve team efficiency.
- Go beyond claims-level analysis with industry-leading algorithms that uncover deeper performance drivers.
Telling your story with Employer Group Insights
Consistently track key indicators
Your clients expect you to keep track of indicators of plan performance that are specific to them. The Leading Indicators grid can be customized with metrics that are reflective of what your client wants to see. Segment performance into three critical pillars–demographics, cost, and efficiency.
Benchmark client performance to industry
MedInsight’s national benchmarks are integrated throughout Employer Group Insights interface. Observe your clients position relative to these benchmarks and the associated savings gap that exists, set targets for improvement, and recommend strategy that will help your client move along the spectrum. Segment this critical insight by service category–including inpatient, outpatient, professional, pharmacy, ancillary–and then explore the category your client is interested in or that you see has the greatest savings potential.
Classify inpatient opportunities
Inpatient services are the top component of spend for most employer groups. Identify how much efficiency opportunity exists within your population by evaluating total cost and utilization coming from re-admissions, potentially avoidable admissions, and services that could be re-directed to a less intense site of care.
Identify geographic hot spots
Healthcare is a local resource and experts agree that where you live has considerable impact on your health and how you utilize healthcare. Patterns in emergent care utilization fluctuate significantly by geographic location and access to alternative care sites. Geographic hot spotting allows you to identify markets where access may be disadvantaged, or community utilization patterns are adverse.
Examine critical healthcare industry drivers
Rise to the challenge of unsure times by supporting your clients with COVID-19 reporting that is designed to be relevant to employer groups. Tracking cost and utilization on a monthly basis gives insight into the magnitude of claim suppression and reversion to normative levels. Look beyond the primary COVID diagnosis into comorbidities that might impact the future clinical needs of your population.
Quantify the cost of disease progression
Diabetes is the nation leading chronic condition. Demonstrate to your clients how important it is to invest in strategies that are targeted at halting diabetes disease progression by showing them how average cost exponentially increases as you compare non-diabetics, pre-diabetics, controlled and severe diabetics and consider solutions that target these specific sub-populations.
Spot outlier experience within your population
Dive beyond the surface of client experience by creating a comparative analysis to reveal outlier opportunity you may have missed if you only looked at aggregate performance. Segment the client population by a dimension of comparison that aligns with how your client is likely to implement strategic initiatives or could drive outcome variation–like geographic location.
Anticipate future plan impact of high-cost claimants
Many high-cost claimants have ongoing clinical needs and will continue to drive significant cost in the future. Evaluate the future risk profile high-cost claimants by measuring the contribution to future risk by clinical condition. Ensure that you have the right clinical resources in place for their future needs and not just the current population needs.
Videos
Watch our videos to learn more about Employer Group Insights
MedInsight EGI resources
How payers can take employer group reporting to the next level
eBook Highlights Healthcare costs in the U.S. are continuing to rise and are expected to increase significantly in the years to come Employers need data-driven solutions to manage their healthcare costs and to ensure their benefit offerings are both affordable and competitive Data-driven insights provide health plans and TPAs with insights they can use to … How payers can take employer group reporting to the next level
