An analysis or our book of business shows that approximately 3.4% of the population generates about 50% of the total healthcare cost.
Likewise, the data shows that, on average, 10% of the employee population accounts for 80% of the total healthcare cost. An important way to contain rising healthcare costs is to improve the outcomes experienced by the 10% who drive those costs.Health plans need a way to identify members with the highest risk for incurring significant healthcare costs so an intervention can be arranged. Also, improving overall member health status has many benefits for employees and their families. Here's how an average member population would be divided into risk categories, and the suggested interventions for each group:
