Solutions.
There is an equation underlying employee health plans which, although simple, is rarely understood and almost never acted upon: The total cost of the health plan is a direct result of the health risks within the insured population and the degree to which those risks are properly identified and treated.
This fact would be inconsequential if the healthcare system itself were efficient and health plan members were diligent about receiving appropriate preventive and routine care - but that is not the case.
According to recent studies reported in the clinical literature such as the New England Journal of Medicine, Americans receive appropriate preventive, acute and chronic healthcare only about 54% of the time. The US healthcare system is not efficient.
Furthermore, healthcare analytics reveals that plan members access preventive care services only about 20-25% of the time despite the fact that these services are covered at nearly 100%. Treatment results for diseased members similarly fall far short of what the best medical science recommends. Patient compliance with drug therapy, laboratory testing and follow-up physician visits for diseases such as diabetes can be as low as 30% in employer-sponsored populations.
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Consequently, a health plan that is committed to quality and real cost mitigation must focus on more than just plan design changes and ever-increasing cost-shifting – it must focus on improving the health of plan members, increasing diagnosis rates and improving the management of disease. This kind of health plan requires creativity, innovation and the intelligent application of proven health risk management strategies.
At NextLogical, we innovate every day and deploy clinically sound health management strategies for clients ranging from 80 employees to 35,000. Why not invite us to share with you some of the strategies that have been so effective for our clients in mitigating medical trend and improving the quality of life for their employees and plan members?
What People Are Saying About Next Logical
"I was impressed with NextLogical's efforts at aggressive and meaningful prospective Disease Management."
"Real data that is actionable is what the industry so drastically needs and has been needing for some time. For example, going after the diabetics and discovering Stage I cancers before they are Stage II puts you well beyond the rut of conventional industry thinking and practice."
Resa Walters,
Account Manager