Académique Documents
Professionnel Documents
Culture Documents
2
Cultural Challenges
Higher Education demands “Best Practice”
benefits approach
Different needs of faculty & staff population
Strategic decisions need buy-in from Faculty
Senate, Benefits Council, etc.
Aging demographic
– Average employee age is 47
– 2 year large claim spike
3
Trend Elimination Strategy
Health Risk Identification
Health Risk Lab Values: Cost Analysis:
Assessment Biometrics Claims Data
Keep the
Metabolic Clinical Musculo-
Tobacco Healthy,
Syndrome Stress skeletal
“Healthy”
Intervention
Paid Claims
$0 - $999
$0 - $999 $1,000 - $9,999 55%
> $10,000 40%
50% 7%
Intervention Challenge:
Who is going to move to
“Red” and “Yellow” next,
and how do you keep them
from getting there?
$1,000 - $9,999
43%
Impacting Claim Patterns
Disease & Pre-Disease Management
> $10,000
# of Claimants
5%
Healthy Status
Episodic Status
Catastrophic
100%
100% 100%
100%
93
90%
90% 2018
80% 80%
-45%
-53% 70%
70%
30% 30%
20% 20%
10% 10%
0% 0%
Clinical Lab Improvement
Prevalence of Specific Risk Factors
N = 154
80%
71% Percentage of Participants
70%
59% 57%
60% 56%
51% 53%
50% 45%
Pre
40%
32%
Post
30% 23%
23%
Change
20%
45 40 30
40 25
Count of Participants
25
35 31 20
30 20
25
25 23 14
19 15 12 12
20
15 11 10
6
10 3
3 5
5 2 1
0
Count of Participants 0
Count of Participants
Gained 0 to 5 to 10 to 15 to 20 to 25 to 30+ Gained 0 to 5 to 10 to 15 to 20 to 25 to 30+
5 10 15 20 25 30 5 10 15 20 25 30