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The ability to explain cost increases by demonstrating, through the analysis of past experience coupled with predictive modeling, how member behavior and health status influences future health
care costs. |
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Reporting to see where the money went, the components of trend and how the employer’s experience compares to peer groups.
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Evidence-Based Medicine Guideline analyses to determine how to improve health through modifications in member and provider behavior. |
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To-Do lists recommending appropriate programs based on the specific health conditions of the population, with the expected ROI of those interventions and measurement
of program success after implementation. |
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Documentation of plan program successes and cost-efficiencies of health improvement programs. |
Provider Profiling / Report Cards – SHS helps plans prove the quality of their provider networks, localize national networks and optimize provider panels to fit employer needs.
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Customize the local look-and-feel of national networks - use SHS reports to demonstrate a client’s specific disease burden and how the plan’s network coverage meets their needs
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Demonstrate to clients that the plan is committed to delivering the highest quality, local network possible. |
Management Reporting -SHS helps plans develop products based on the actual experience of their book of business. |
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Develop and evolve an attractive set of products by reviewing the health of the entire spectrum of members, not just the major claimants. This is especially helpful for developing high-deductible, consumer-driven products.
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