Healthcare providers are accustomed to taking things one day at a time. A patient comes in – and they deal with the presenting ailment and then move on. Under value-based care models, however, they need to look beyond the present and understand a patient’s future, in terms of clinical and financial risk.
Brokers and consultants often are left to rely on the same set of data (over and over again) when trying to enable clients to improve members’ health as their own financial health. As a result, consultants often find themselves frustrated when they can’t move the needle toward better results.
Like other consumers, health insurers don’t enjoy feeling the pain that comes with the realization that you’ve paid too much for something. As such, they are known to employ a variety of strategies as part of their overpayment recovery programs.
Employers of all kinds, particularly those who have a high percentage of employees with chronic conditions, often struggle to determine which health benefits will support their efforts to maintain a healthy workforce. Often, employers turn to their benefits brokers to guide them in the right direction. Brokers today leverage advanced analytics that use robust data sets in order to confidently provide data-driven consulting to their employer clients.