How to Reduce Healthcare Cost by Maximizing Point Solution Utilization
Credit: https://www.kff.org/report-section/ehbs-2021-summary-of-findings/

How to Reduce Healthcare Cost by Maximizing Point Solution Utilization

As healthcare expenses continue to rise, employers face increasing pressure to manage and limit these costs. Point solutions, which encompass services such as virtual healthcare options, mental health support, fertility benefits, and more, offer employers the opportunity to provide precise and tailored care to their specific member populations. Point solutions are gaining popularity as an effective cost-reduction strategy, with the average plan now offering approximately nine such solutions.?

Although employers recognize the value of offering point solutions to their members, many members remain unaware of how to access these resources. Maximizing the utilization of point solutions can reduce unnecessary office visits and significantly lower overall healthcare expenses. Here are three ways in which forward-thinking third-party administrators (TPAs) will collaborate with their clients to optimize the utilization of point solutions for cost containment.?

Table of Contents?

  • Introduction?
  • Boost Awareness of Point Solutions?
  • Simplify Access to Point Solutions?
  • Implement Incentive Programs for Increased Utilization?
  • Understanding Point Solutions?
  • Identifying Cost-Driven Challenges?
  • Choosing the Right Point Solutions?
  • Integration and Compatibility?
  • Training and Adoption?
  • Monitoring and Evaluation?
  • Leveraging Data Analytics?
  • Cost Savings Case Studies?
  • Ensuring Security and Compliance?
  • Scaling for Long-Term Success?
  • Challenges and Mitigations?
  • Future Trends in Point Solutions?
  • Conclusion?
  • FAQs?

Introduction?

In the competitive business world, staying ahead requires a strategic approach to cost management. One such approach involves the use of point solutions, which are highly specialized tools designed to tackle specific operational challenges.?

Boost Awareness of Point Solutions?

Large companies often provide point solutions in areas like smoking cessation, weight management, and behavioral or lifestyle coaching, with over 80% offering at least one such solution. However, the issue lies in members' lack of awareness regarding the existence of these point solutions. TPAs can address this challenge by:?

  • Collaborating with clients and/or the point solution vendor to run internal marketing campaigns.?
  • Encouraging employers to promote these solutions during open enrollment periods.?
  • Promoting point solutions when members are actively searching for healthcare resources.?

Simplify Access to Point Solutions?

The proliferation of point solutions, while beneficial, adds complexity to the healthcare landscape for plan members, often resulting in confusion and overwhelm. To address this, TPAs can employ healthcare navigation solutions that:?

  • Integrate point solutions directly into the healthcare navigation platform, ensuring that search results include relevant point solutions for every query.?
  • Make point solutions more accessible and comprehensible to members, streamlining the navigation process and enabling members to locate these resources when they need them most.?

Implement Incentive Programs for Increased Utilization?

Approximately 75% of all healthcare expenses are associated with preventable chronic diseases. If clients are investing in point solutions to address specific needs, it's vital to ensure that members utilize these resources. Incentive programs can serve as a powerful motivator for increased utilization, with key considerations including:?

  • Recognizing the value of incentives through policy and practice.?
  • Offering various incentive types, such as monetary rewards (gift cards, checks, or bonuses), employee recognition, and empowering employees to take control of their healthcare decisions.?

By proactively addressing these aspects—increasing awareness of point solutions, promoting their availability during member searches, and encouraging incentive programs—TPAs can make point solutions more accessible and comprehensible for members while effectively containing costs for their clients.?

All of this can be seamlessly achieved by implementing a healthcare navigation solution, such as Amino Health. The Amino platform enhances the understanding of high-value healthcare benefits by providing data-driven, personalized care recommendations that plan members can act on.?

Understanding Point Solutions?

Point solutions are targeted software applications or systems that address issues within an organization. These solutions can range from customer relationship management (CRM) software to supply chain optimization tools.??

Identifying Cost-Driven Challenges?

Before implementing point solutions, it's essential to identify the specific cost-driven challenges your organization faces. These challenges can include inefficient processes, high operational expenses, or wasteful resource allocation.?

Choosing the Right Point Solutions?

Selecting the appropriate point solutions is critical. Consider factors such as your organization's size, industry, and unique challenges. Customization options and scalability should also be considered.?

Integration and Compatibility?

To maximize the benefits of point solutions, they must seamlessly integrate with your existing systems and workflows. Compatibility issues can lead to inefficiencies and increased costs.?

Training and Adoption?

Proper training and user adoption are crucial. Ensure that your employees are well-versed in using these solutions to achieve optimal results.?

Monitoring and Evaluation?

Continuous monitoring and evaluation of point solutions are essential for tracking their impact on cost containment. Regular assessments can help identify areas for improvement.?

Leveraging Data Analytics?

Data analytics can provide valuable insights for optimizing the utilization of point solutions. Analyze performance metrics to make informed decisions.?

Cost Savings Case Studies?

Explore real-world case studies to understand how other organizations have successfully used point solutions to achieve cost savings.?

Ensuring Security and Compliance?

Security and compliance should never be compromised. Ensure that point solutions adhere to industry regulations and data security standards.?

Scaling for Long-Term Success?

As your organization grows, consider how point solutions can be scaled to accommodate increased demand and complexity.?

Challenges and Mitigations?

Address potential challenges such as resistance to change or system downtime with proactive mitigation strategies.?

Future Trends in Point Solutions?

Stay ahead of the curve by exploring emerging trends and innovations in point solutions for sustainable cost containment.?

Conclusion?

Effectively utilizing point solutions can significantly impact cost containment in organizations of all sizes. By identifying specific challenges, choosing the right solutions, and prioritizing integration and training, businesses can maximize the benefits of these specialized tools.?

If you're interested in learning more, visit us at https://beneloyalhealth.com/contact/ or call us at 281-752-6034?

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FAQs?

  1. What are point solutions, and how do they differ from comprehensive software suites??

  • Point solutions are specialized software applications designed to tackle specific challenges, while comprehensive suites offer a wide range of functionalities.?

  1. How can I ensure the security of my data when using point solutions??

  • Ensure that the chosen point solutions adhere to industry-standard security protocols and regularly update security measures.?

  1. What industries benefit the most from point solutions for cost containment??

  • Industries such as healthcare, finance, and manufacturing often benefit significantly from point solutions tailored to their specific needs.?

  1. Are there any cost-effective options for small businesses looking to implement point solutions??

  • Yes, many point solutions offer scalable pricing models suitable for small businesses.?

  1. What is the typical timeframe for realizing cost savings after implementing point solutions??

  • The timeframe can vary but often ranges from a few months to a year, depending on the complexity of the challenges being addressed.?

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