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 Arcturix™ Data Management Service |
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Group Health Analysis: A better way to manage your healthcare
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A value gap is created when a company experiences an increase in health care premiums without a corresponding increase in the quality and performance of healthcare services. To improve value, companies need to evaluate and improve both cost and quality.
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Identifying the specific drivers of your costs and quality of care is critical to controlling them. Since your population is unique, in order to reduce and control costs, your unique cost and quality drivers must be determined
To accomplish this goal, Dynamic Health Strategies combines the use of proprietary technology, audit discipline, analytical software, and bio-statistical evaluation techniques to identify and evaluate:
 Total “spend” associated with the company’s health and wellness benefits
Return On Investment (ROI) of vendors and services
Cost “drivers” within the population
Baseline, current, and projected state of the group’s health
Quality and management of chronic diseases
Audit accuracy of ASO services
Clinical care issues
Variances in utilization, cost or clinical care by divisions, geographic areas, health plans, other elements
Participation in voluntary wellness benefit services
Appropriateness of targeted interventions or preventive services
We facilitate your management’s objectives through the following process: |
A. Incorporate the following Data into our Arcturix(SM) program
Eligibility and Enrollment
Benefit Services Budget
Medical Claims
Pharmacy Claims
Behavioral Health Claims
Laboratory Values
Health Savings/ Reimbursement Account (HSA)
Premiums and Contribution
Funding Records
Health Risk Assessment (HRA) or Health Status Survey Data
Workers Compensation Claims, Wage Replacement
Case Management Data
Disability Claims and Wage Replacement
Employee Assistance Participation (EAP)
Occupational Health Clinic/Services Data
Disease Management Program Data
Lifestyle Coaching and Intervention Programs Participation and Service Data
Incentive Tracking
Other Available Data
B. Map and Cleanse Data for Integration: Data is mapped and defined/cleansed so that data from a variety of sources can be integrated into the database, allowing the user to manage data within a single environment
C. Incorporate all Data Into the Arcturix Database
D. Build “Models” for the User to Easily View Data in a Single Version of the Truth
E. Create Customized Views of Reports for Recurring Analytical Intelligence
F. Provide the User with Real Time Access to Data and Reporting
G. Continually Update with Routine Data Feeds
Dynamic Health Strategies performs Group Health Analysis services for self-insured corporations, universities, government entities and group health management. The process allows Dynamic Health Strategies to pinpoint specific measures that enable our clients to reduce costs, reduce healthcare risk exposure and improve quality of care. Group health analysis allows the monitoring of cost, quality and utilization of health care prior to problems becoming major issues.
Clients and Benefits Consultants are then able to apply the findings and recommendations to realize any of the following benefits:
Improve contract negotiations with ASO/TPA or health plan vendors
Improve performance of current ASO/TPA or health plan vendors
Improve contracting with providers or network participants
Implement internal health and wellness initiatives
Target specific health and wellness initiatives to address key findings
Educate employees and their dependents on key health issues and benefits
Design health plan benefits to meet specific needs or to address specific flaws
Apply risk models and cost projections for budgeting and financial strategy
Monitor utilization and cost
Monitor improvement in key quality markers to assess effectiveness and efficiency of health and wellness initiatives
For more information regarding Group Health Analysis, contact us. Click here for examples of bottom-line cost improvements.
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| © iStockphoto.com/Lise Gagne |
© Kirsty Pargeter. Image from BigStockPhoto.com |
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