Is medical spend out of control?

YES!

The National Health Expenditure grew 3.9% to $3.5 trillion, or $10,739 per person in 2017, and is expected to reach nearly $6.0 trillion by 2027?  

SOURCE: cms.gov

Let our combined 100+ years of serving employers help you change your trend.

OUR MISSION:

 Identify MEDICAL SPEND WASTE, REDUCE WASTE, and HELP GUIDE companies to reinvest into services that improve the health of their population.

Once the data is fully integrated, Vital Incite uses the Johns Hopkins ACG System, that predicts an individual's health over time, normalizes data, and provides deeper insight.

Data can be used to retroactively look at what happened and examine why, or it can be used to create better outcomes.

EMPLOYEE NEEDS SURVEY

Provides an evaluation of participants’ current health, health care needs, and quality of life. This survey will take about 10 minutes to complete. Aggregate results of this survey will be used to provide feedback on the needs of the population.

FINANCIAL PERSPECTIVE

VALUE PERSPECTIVE

It has been well documented that at least 30% of medical spend is completely wasted.        Source: Vital Incite

30% of $3.5 Trillion = $1.05 Trillion      AND        30% of $10,739 = $3,221.70

Example:

30% of (475 members x  $10,739) = $1,530,307.50

What is the cost  of all three companies to target over $1.5 million?

LESS THAN 1.6% OF THE ESTIMATED MEDICAL WASTE

 

LESS THAN 0.5% OF THE ESTIMATED ANNUAL COST 

That's right! You would then pay:

LESS THAN 0.8% OF THE ESTIMATED MEDICAL WASTE

 

LESS THAN 0.25% OF THE ESTIMATED ANNUAL COST 

THE STRATEGY:

Find where the medical spend waste exists, drill down to find the root cause, develop programs to reduce the waste, then reinvest in the resources that improve the health of each of our client’s populations.  Therefore, creating a healthier workforce today and decreasing the dependence on the healthcare system in the future.

Proactive Health Coaching

Services:

Tracking both vendor & employee progress

Health Coaching  (onsite and telephonic)

Wellness Portal with Incentives

Animated/Automated Wellness Training 

Wellness Dashboard

Newsletter/Emails

Presentations

 Our focus is to make each employee healthier by limiting waste, focusing on needs, and coaching individuals to be their own advocate.

Proactive Benefits Training

Services:

Drug Pricing

Telemedicine

Cost Estimator

Navigating Benefits

Carrier Programs

Resouces

Health Care Advocacy Services

We train and educate companies on how to better use their benefits. Our employee friendly communication pathways help everyone to be better consumers. 

Potential Ways to Save Money

Redirect Care/Spend

Doctor A:

Better Patient Outcomes

Less Expensive

We help your employees find the right service for their needs.

                     IMAGING

                    MRI A:                       MRI B:

COST             $3,300                       $300

DISTANCE     8 miles                       9 Miles

      $$$$                           $                     

                        Telemedicine

                         Urgent Care

                         Primary Care Visit

Save on Cost

  • Pay for effective programs

  • Avoid Tests for a differential diagnosis when the treatment is the same

  • Keep your healthy employees healthy

  • Make your unhealthy employees healthier

  • Help employees with chronic conditions to better manage their care

Proper Utilization​

 

Preventive Exams

 

Non-emergency


 

  ER   

Other Available Services:

General Wellness

Direct Primary Care

Diabetes Management

Prediabetes

Weight Management

Mental Health

Case Management

Financial Wellness

Does the program become more valuable over time?   YES!

As Vital Incite collects more data, they can better identify RISK, TRENDS, and MEDICAL WASTE.

CASE STUDY

CHALLENGES:
Data proved that Goodwill employees’ preventative medicine utilization and medication compliance was poor, and ER utilization was significantly higher compared to other employer groups.

 

Goodwill has a population with poor health literacy and wanted to find a cost efficient solution to educate their employees and improve their health habits while controlling risk and cost.

SOLUTION:

Goodwill created a top-tier Primary Care Network which permitted employees to receive primary care services without a financial barrier. Their top-tier network provided nurse coaches that travel to each of their 70 plus locations each month to follow up with anyone with medical risk or questions related to their care.
 

Specific data-driven goals were developed each year to progress the program results, focusing on the key things that would improve the health of the population or help reduce medical spend waste.
 

RESULTS:

In a retroactive six-year review, the plan is running 27 percent below trended expectations in net medical spend.
 

Emergency utilization, gaps in medication adherence, cost of care and risk control are all significantly better for those that utilized the top-tier primary care and nurse coaching program than those that did not.
 

As gaps in medication adherence improved for insured people with asthma, ER utilization dropped. The percentage of insured people with controlled diabetes has improved, as cost of care per controlled diabetic has declined.

CONCLUSION

Proactive Health Solutions, Schwendeman Agency, and Vital Incite work together to design your wellness and benefits program to minimize medical spend waste, reduce waste, and help guide companies to reinvest into services that improve the health of their population. The purpose of customized health coaching and benefits training are to address many of the common forms of waste. We ultimately work with clients to create the best program possible in by creating a better future for the client and a healthier workforce. 

1. Health Coaching:

  • Passive health coaching uses a variety forms of communication to address the main health problems that your group is facing.

  • Active health coaching allows for employees to engage with a professional to help them to become their own health advocate.

  • Proactive health coaching reaches out to risk individuals to coach them to overcome barriers that prevent them from reaching their health goals.​

2.  Benefits Training:

  • Passive benefits training uses a variety of forms of communication to target the main utilization problems that your group is facing.

  • Active benefits training allows for employees to engage with a professional to help them to become a smarter health care consumer.

  • Proactive benefits training reaches out to individuals that show significant deficits in the way the utilize healthcare.