An
excerpt from a study published in Medical Benefits Review indicates that the use
of certain practices in health care management could explain enormous differences
in per-employee costs - as much as 30% to 50% between two otherwise comparable
employers. Your plan, as administered by GISC, utilizing GISC, utilizing GISC
TotalCare addresses each one of the following findings: Finding #1.
Companies that focus on managing the health of their covered employees through
targeted, clinically based care management programs have an average of 18.2% lower
health care costs. Case management programs that monitor quality of care and provide
nurse-counseling support for catastrophically ill or injured patients have the
greatest impact on health care costs. Finding #2. Cash-based incentives,
when used to drive desirable health behaviors, strangely correlate to reduced
health care costs, while other forms of incentives have an insignificant, or even
negative, impact. Employers using cash-based incentives average 15.1% reduction
in total cost per benefit-eligible employee. Cash-based incentives included one
or more of the following: ~ Reduction in plan premium ~ Direct cash
payout ~ Contribution to health reimbursement arrangement or health saving
account. Finding #3. Excellence in benefits administration and communication
has a direct correlation with 12.7% lower health care costs per employee. Seven
keys practices which were found to have a high impact on savings include: 1.
Selecting vendors that have the ability to share information/data with each other. 2.
Using vendors who provide a seamless experience for members. 3. Ensuring
member eligibility is accurate and up-to-date. 4. Having a unified, coordinated
process for processing. 5. Communicating all health related messages with
a common "look". 6. Devoting a specific communication vehicle
to the promotion of employee health. 7. Targeting health communications
to both employees and their families. One Hundred and Fifteen companies,
representing almost 4 million covered lives participated in this survey. |