With Benefit Informatics Forecasting technology, employers experiment with plan design techniques and see the impact of potential changes in real time. They can easily evaluate future benefit costs based on historical data.
Here are a few of the questions employers ask as they prepare the health plans they offer to employees:
What would happen if we changed the co-pay amount for name brand prescription drugs?
Which employees would be affected if we increased the deductible for out-of-network services?
How much would the plan save if we eliminated chiropractic benefits?
By using Benefit Informatics tools, users don’t have to guess the answers to these questions – they know.
In building complex plan packages, benefit administrators need to take into account a number of variables, such as:
- Out-of-pocket maximums
- Added or deleted benefits
Benefit Informatics Plan Modeling and Forecasting can create numerous scenarios from a variety of plan data, such as co-pays, deductibles, adding and removing members. Users can see these alternatives online and print or save them to make changes later.
Compare claims data to "what if" scenarios
Created using plan documents and claims history
Granted via a unique username and password
Our secure system enables users to see extensive design alternatives that can be developed in minutes. Making additional changes and recreating plan options is a simple process with our user-friendly dashboard.
When the various plan models are complete, they can be posted to a secure website, printed in PDF format and saved for future use.
Advanced Clinical functionality, featuring the Johns Hopkins ACG System, is integrated into the Benefit Informatics Data Analytics platform. With Advanced Clinical you can answer the following questions:
- What will we spend on diabetes, asthma and other chronic diseases next year?
- Which members of our health plan will utilize the most healthcare and have the highest costs?
- Do we know which members have gaps in their care and how can we help them?
- How do we know if we are getting a return on investment for our wellness and disease management programs?
- What actions can we take to control costs and help our members obtain the best care possible?