Claims Data Analysis

What is driving the cost of your employer-sponsored health plans?

• Is it your plan design?
• Is it the demographics of your group?
• Is it your claim utilization?
• Is it your employees and family members health status?

How does your plan design compare to the plan design of other employers?

• Is your contribution in strategy with other employers of similar size?
• How does your claims experience compare to other employers?
• Does your total cost of benefits meet benchmark?

How will changes in your plan design impact your group claims experience and ultimately plan costs?

Would the answers to these questions help you make wise decisions upon renewal? Of course they would! That is why HNI provides its clients with a tool called Health Plan Intelligence. With Health Plan Intelligence, you can uncover specific information about your group including demographics, claims data and trends as well as draw comparisons to other group health plans of similar size. Review examples of the various reports provided by Health Plan Intelligence.

• Overall Experience
• Emergency Room
• Wellness / Routine Visits
• Physical Medicine Encounters
• Claims Related to Behavior

BeneCalculator ™

What impact will plan design changes have on your plan?

With our BeneCalculator™ tool, you can determine the impact of an alternate plan before you make final plan design changes. We utilize existing health care data to perform a “What If?” analysis. This analysis will provide you with various scenarios of plan changes and indicate the potential impact on your overall costs. The projected impact is displayed both in monetary terms and the number of your group’s members that would be affected by the change.

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