This is a snapshot of four national companies that have experienced significant savings working with WellNet and using Healthcare Performance Management technology to lower health plan costs and improve employee health.
2. The following Case Studies outline the results of Healthcare Performance Management (HPM) whereby companies manage their entire healthcare plan through software. This approach, and only available thru the development of web 2.0 technologies, allows corporations to control and consolidate healthcare management in a single system using dashboards, systematic workflows, predictive analytics, simulations and member marketing campaigns all in real-time. Data Warehouse Predictive Model Rx Medical Reports Lab ID High/Moderate Risk Nurse Outreach HRA Plan Sponsor Facing Member Facing Mail | Web | Mobile Analytic Tools | Healthspace Explorer HPM Targeting Campaigns, Embedded Care Management Usage Analytics Predictive Risk Modeling Normative Analytics Master Data Management Data Mashup Inference
3. KEY FACTS Headquarters: San Francisco, CA Start Date: January, 2010 Business: National Men’s Retailer Population: 7,324 ee’s/13,280 members Executive Endorsement: Strong Member Participation: 57% Member Communication: Ongoing Incentive: Reverse Incentive, Bi-weekly deduction Medical Plan Trend Reduction: 11% to 6% RETURN ON INVESTMENT: 11:1 INTEGRATED CARE MANAGEMENT High Risk Members: 336 members 2.6% of population 14 conditions per member $27 mm in undetected claims cost Medium Risk Members: 2,328 members 18% of population 8 conditions per member $22.5 mm in undetected claims cost VALUE ON INVESTMENT (Participating Members with Closed Cases) Estimated Medical Avoidance: $2,181,111 Estimated VOI: 5:1
4. KEY FACTS Headquarters: Atlanta, Georgia Start Date: January, 2009 Business: National Radio Station Operator Population: 1,454 ee’s/2,572 members Executive Endorsement: Strong Member Participation: 79% Member Communication: Ongoing Incentive: Premium Reduction Medical Plan Trend Reduction: 8% to .06% RETURN ON INVESTMENT: 18:1 INTEGRATED CARE MANAGEMENT High Risk Members: 55 members 2% of population 5.5 conditions per member $4mm in undetected claims cost Medium Risk Members: 453 members 18% of population 3 conditions per member $17mm in undetected claims cost
5. KEY FACTS Headquarters: Greenwood, MS Start Date: January, 2010 Business: High-End Appliance Manufacturer Population: 806 ee’s/1,473 members Executive Endorsement: Strong Member Participation: 45% Member Communication: Ongoing Incentive: Gift Card incentive program Medical Plan Trend Reduction: 24% to 14% RETURN ON INVESTMENT: 15:1 INTEGRATED CARE MANAGEMENT High Risk Members: 35 members 2% of population 8 conditions per member $1.6 mm in undetected claims cost Medium Risk Members: 292 members 18% of population 5 conditions per member $1.7 mm in undetected claims cost VALUE ON INVESTMENT (Participating Members with Closed Cases) Estimated Medical Avoidance: $375,143 Estimated VOI: 3:1 Other: 13% decrease in medical/Rx risk probability 9% decrease in hospital admits
6. KEY FACTS Headquarters: San Antonio, TX Start Date: September 2009 Business: National Distributor of Mobility Devices Population: 1,910 ee’s/2,831 members Executive Endorsement: Strong Member Participation: 35% Member Communication: Ongoing Incentive: Premium-Based Incentive Program Medical Plan Trend Reduction: 19% to 10% RETURN ON INVESTMENT: 10:1 INTEGRATED CARE MANAGEMENT High Risk Members: 87 members 2.6% of population 7.4 conditions per member $4.6 mm in undetected claims cost Medium Risk Members: 606 members 18% of population 4.5 conditions per member $3.8 mm in undetected claims cost VALUE ON INVESTMENT (Participating Members with Closed Cases) Estimated Medical Avoidance: $882,000 Estimated VOI: 8:1 HRA Biometric Screenings: 54% participation Baseline employees evened out 2009 to 2010 to obtain benchmark
7. WellNet Healthcare Group, a national healthcare management company is a leader in providing employers and plan sponsors fully integrated, performance driven healthcare services. With laser focus on management, measurement and highly targeted member engagement, WellNet’s proven approach and cutting-edge technology delivers accelerated and unprecedented cost savings and efficiency gains that lower total medical benefit expenses today. www.wellnet.com 800-808-4014 WellNet is a founding member of the HPM Institute.