Riskstratification using pharmaceutical data, in combination withbehavioral insights, can identify that plan member before atraditional condition-based program can. (Photo: Shutte
Self-insured employers seeking to squeeze costs out of theirhealth plans have taken savvy steps to target specific membersub-segments for supplemental care. The rise of programs specificto cancer, diabetes and heart disease, and musculoskeletalconditions like arthritis, attests to the recognition that reducingthe costs of a few high users can have faster, greater impact onboth overall costs and individuals' health outcomes than addressinga broader population.
These population health efforts almost always focus on aspecific condition or disease. It's a solid step, and the effortshave made an impact–but self-insured employers are leavingcost-saving and member care opportunities on the table.
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