Health Care Risk Management
You Can Only Manage What You Measure
As a full service third party administration firm, we know that information is the key to identifying health care risk. Our experience in health claims administration and data analysis consistently illustrates that 80% of plan costs come from 20% of the covered population - those with chronic illnesses such as asthma, diabetes or high blood pressure, or less than healthy lifestyles that often lead to chronic illness.
In order to take health plan dollars further, ACS applies several strategies to identify existing and potential health care risks within your covered population. Some of these include...
- Surveying current employees
- Reviewing utilization and prior claims
- Administering health risk assessments
- Developing personal wellness plans
- Tracking health-related activities
Mitigating Health Care Risk
Choosing a health care benefit plan without identifying your overall cost of risk is like getting behind the wheel of your car without choosing a destination. Managing health care risk enables companies to control health care costs, offer more meaningful plan designs and increase overall employee satisfaction. To help mitigate risk within a covered population, ACS provides…
- Care for chronic illness
- Proactive care management
- Pharmacy benefits management
- Employee education
- Strategies to encourage behavioral change