The Solution To Soaring Medical Claims and Rising Costs

The Solution To Soaring Medical Claims and Rising Costs

The Situation and Complication

Health care premiums are expected to rise 10% - 15% in 2023* - a significant jump from the historical 5% - 8% annual increases tracked by The Kaiser Family Foundation. This is due in part to Covid-19 and the deferment of care during the pandemic. As consumers catch up on missed screenings, treatments, and routine follow-up visits, providers and payors are bracing for sicker patients due to this disruption. It is early in the plan year and increasing medical claims combined with escalating costs are already stressing health plan budgets.?

The Solution

Self-funded employers should move quickly to deploy in-year solutions to address waste and optimize care. Your data can reveal how employees use the plan, identify gaps in care, and find higher-quality lower-cost health care options when the need arises.

Real Data Example

In the below chart showing utilization trends, companies are clearly experiencing significant increases in plan utilization, e.g., inpatient utilization increases range from 11% - 36%. Wellnecity actively manages clients’ health benefits with data-driven insights that can reduce spend up to 30% without sacrificing employee benefits.

No alt text provided for this image

Looking to manage and reduce costs on your health plan? Message me to find out how at [email protected].

Jack Woerner

I lead small business & executive teams to PROFITABLE RESULTS | Practical solutions to run your business effectively

2 年

Right on Bill and you will generally get a better health plan

回复

要查看或添加评论,请登录

Bill Frack的更多文章

  • Hard to believe health plan leaks

    Hard to believe health plan leaks

    Hidden inefficiencies in your health plan could be quietly costing you millions. Healthcare payment systems are…

    1 条评论
  • Data Should Empower, Not Burden

    Data Should Empower, Not Burden

    As HR leaders, you're tasked with the impossible—offering top-tier benefits, controlling costs, and improving employee…

    1 条评论
  • PBM Oversight – Your Fiduciary Responsibility

    PBM Oversight – Your Fiduciary Responsibility

    By Bill Frack, Co-founder & Chief Product Officer Recent lawsuits against high-profile organizations underscore the…

  • Unbundling to Build a Better Health Plan

    Unbundling to Build a Better Health Plan

    By Bill Frack, Co-founder & Chief Product Officer Once upon a time, navigating employee health benefits was…

  • Unlocking Value: How PE Firms Can Take Charge of Healthcare Costs

    Unlocking Value: How PE Firms Can Take Charge of Healthcare Costs

    Imagine boosting your portfolio's value by 10% simply by rethinking your approach to health plans. For private equity…

  • Get the Most Our of Your Health Plan Vendors

    Get the Most Our of Your Health Plan Vendors

    Bill Frack, Chief Product Officer Getting the most out of your health plan vendors requires continuous, data-driven…

  • Unlock Your Point Solution ROI

    Unlock Your Point Solution ROI

    C-suite leaders see the potential of self-funded health plans, but only having data in a warehouse stands in the way…

  • Healthcare Headaches: Ineligible Members

    Healthcare Headaches: Ineligible Members

    Managing healthcare costs is an ongoing battle for self-funded employers. Amid the many factors contributing to this…

  • 3 Ways CAA can Land you in Hot Water (and How to Stay Compliant)

    3 Ways CAA can Land you in Hot Water (and How to Stay Compliant)

    The Consolidated Appropriations Act (CAA) of 2021 brought significant changes for self-funded health plans, emphasizing…

  • It’s Time to Check Your Stoploss Reimbursement

    It’s Time to Check Your Stoploss Reimbursement

    The Situation Would your leadership team be upset to learn that stoploss reimbursement was underpaid? Would they be…

社区洞察

其他会员也浏览了