As we often discuss in this article series, the notion of healthcare education and outreach is very important to us and to our clients. We firmly believe that it is key to making an impact in your claims cost, and in getting an overall positive experience out of your care. But can we really expect to see an impact? You can. By targeting individual programs that solve specific issues that a company may be facing, and promoting the heck out of it, you can seriously make an impact. You see, people traditionally haven’t been in the driver’s seat of the claim management role. Until now. You can teach people how to ask the right questions at the right time, educate them on the process and give them your most effective tools and solutions.
Consider this statistic – about 90% of a groups claims come from 30% of that population. That means that there are a very small amount of high healthcare users. One might think that we should hone in on just that population and work with them. Unfortunately that’s not the case. You’re going to want to provide the same level of education to all plan members as someday a new group of people are going to comprise that 30%. Let’s take a look at one of our dearest clients, and what they’ve done to reduce their plan costs.
Our Client: How their belief in the theory of managing their health plan through the members improved their outcomes
Insured Members 9692
Members eligible for Disease Management 2831
Members Participating in Disease Management 228
Statistically speaking, this group is quite average in terms of population size. Where they excelled was in their utilization of the carrier’s disease management program. By using Trig’s outreach and education, we were able to boost engagement by a multiple of 14 times. It just goes to show, that even with a relatively small population, a huge difference can be made.
Plan members are not stupid, they just haven’t been given the tools to navigate this process on their own. With more education, you will get less medication and less cost and more productive lives. And this translates into a better overall care experience that costs less.