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CLIENT VALUE STORY

Brokerage Firm’s Data-Driven Health Management Approach Lowers Costs and Improves Outcomes

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THE CHALLENGE

Helping Employer Clients Find the Right Health Management Strategies

Employee health is top of mind for organizations of all sizes. In addition to the obvious benefits of a healthy and productive workforce, helping employees optimize their health is good for a company’s bottom line. Hilb Group’s clients are no different, and the brokerage firm is continually looking for ways to help clients:

  • Foster a culture of wellness
  • Increase awareness in factors that contribute to well-being
  • Engage employees in health-promoting behaviors
  • Identify opportunities to mitigate health risks
  • Reduce costs, particularly those costs associated with chronic disease

Hilb Group recognized a common opportunity shared by many broker organizations: unlocking the full potential of their extensive data. Ultimately, they wanted to enhance their ability to harness and interpret the information they have to better anticipate trends in behavior and costs. By gaining a greater understanding of their data, Hilb Group positioned itself to deliver more impactful, actionable insights that would empower clients to make more informed decisions that elevate employee health and wellness.

“Our health-data-driven approach, enabled by our use of Cedar Gate, has significantly transformed the way our consulting is delivered, and it’s proving to be a game-changer. Our goal is to help our clients mitigate risk and improve the health of those we serve. To do so requires targeted strategies that are different for each organization. We take the data-driven approach because we recognize it’s the best way to find the most effective solution – and when we do, everyone wins!”

Danielle Herndon, RN, CCM
Hilb National Practice Leader for Population Health and Wellness

Data-Driven Approach Uncovers Actionable Steps for Employers

As healthcare costs increase, employers are looking for more efficient and effective coverage that not only pays for employees who are sick, but also helps those covered by a health plan to improve their overall health and wellness. A more proactive approach to care requires data, which is where Hilb Group excels. To achieve their goals, they use Cedar Gate’s Healthcare Benefits Analytics, enabling in-depth data analytics for a proprietary approach that includes:

  • Stratifying populations into cohorts based on their unique health history and risks
  • Identifying evidence-based preventive care, as well as gaps in care, to recommend timely and cost-effective treatment
  • Helping clients find individuals at higher risk of incurring high-cost care or developing a chronic disease with predictive analytics
  • Prescribing specific actions for care teams based on the available data insights
  • Educating clients on how to engage employees in beneficial health and wellness activities
  • Using data to forecast future medical costs and emerging health risks in the population

Finding the Right Mix of Programs & Services

Since every employer’s insured population is different, Hilb Group doesn’t have a cookie-cutter set of programs or plan benefits they recommend to every client. Instead, they let the insights from their Cedar Gate Analytics software point them to the unique steps each client should take to maximize population health and mitigate risk.

In-Depth Data Analytics

With the right analytics tools, Hilb Group can help clients proactively approach benefits and health insurance in an employee population. Cedar Gate’s Analytics tools help identify risk for things like chronic disease or high-cost interactions with the healthcare system (such as frequent ER visits). This in-depth data – paired with actionable steps to mitigate risk – leads to a healthier, happier workforce and lower total spending on healthcare for employers.

Dedicated Care Team

Data is most valuable when it leads to actionable steps that improve employee health and wellness. Hilb Group shares insights from Cedar Gate’s Analytics software with a dedicated clinical management team that includes certified case managers and registered nurses. This team recommends ways clients can reduce clinical risk, improve overall employee health, and navigate complex healthcare situations (including chronic disease management), then acts on those insights to ensure optimal outcomes.

Tracking & Benchmarking

With access to Cedar Gate’s National Healthcare Benchmark Database, which includes anonymized and de-identified data from millions of member lives throughout the country, Hilb Group can help clients identify anomalies and opportunities for improvement. They use the information to create proactive, targeted plans that address the unique healthcare needs of every employer client’s population, reducing insurance costs and improving overall wellness.

THE RESULTS SPEAK FOR THEMSELVES

When Hilb Group tells clients they can assist with cost savings, care quality improvement, and optimizing benefits for each unique employee population, it’s more than a sales pitch. They back it up with clear data showing how clients outperform industry averages using data from Cedar Gate’s anonymized National Healthcare Benchmark Database (which contains information for tens of millions of anonymized member lives) on a wide range of health and cost metrics, including:

Preventive Care

Hilb Group Healthy Plan Solutions (HPS) clients recorded cervical cancer screening rates 8% to 12% higher than industry benchmarks when compared with average screening rates across commercially insured populations.

Preventive Care

Total Costs

Every patient has different healthcare needs, and clients have different plan designs and structures, all of which can impact total cost of care. Hilb Group used Cedar Gate’s Analytics software to compare total allowed amounts per claim line with both plan and member spending to get a true “apples to apples” cost comparison. In that comparison, Hilb Group’s clients average costs were 20% lower than commercially insured averages – and for the best-performing clients, that cost savings was 35%.

Total Costs Comparisons

By utilizing Cedar Gate’s Healthcare Benefits Analytics tools to uncover critical insights, Hilb Group can offer its clients industry-leading recommendations that lead to better care and a healthier workforce while lowering employers’ total insurance costs.

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