Population Health Management

To paraphrase Pogo, "We've seen the enemy, and it is us".
 
Chronic diseases are on the rise in the United States, and the cost to employers is enormous. Many of these diseases can be properly controlled, treated or prevented.

Truth About Chronic Diseases and Employer Health Plans

  • Over 70% of medical claims are due to lifestyle-related factors.
  • Over 65% of claims are generated by dependents, so new communication strategies must find a way to effectively reach them.
  • Individuals with chronic conditions account for nearly 80% of inpatient hospital visits, and almost 85% of prescription drug use.*
  • A claimant classified as 'mildly obese' generates over $1,500 more in annual claims than an average claimant.

More employers today are willing to invest in disease management, wellness programs and other health improvement strategies. The payoff can be a lowering of the medical cost 'trend line', which can have dramatic impact on the bottom line.

Strategies for Enhancing Employee Health and Productivity
C.M. Smith helps employers design strategies that address chronic diseases such as diabetes, heart disease, and asthma. These strategies are one way to address the 10% of your covered population who account for over 70% of your claim cost.  We also offer onsite employee coaching and wellness programs that can help minimize future health risks in your workforce. 
C.M. Smith partners with employers to enhance health and productivity through:

  • Population Health Management (PHM) needs analysis
  • Recommended PHM strategy, goals, objectives and programs
  • Review of all PHM contracts (i.e. wellness, disease management, case management, EAP, disability, workers’ compensation)
  • Facilitate vendor negotiations
  • Oversight of all vendors, measure performance and monitor performance guarantees
  • Recommend intelligent benefit designs based on data and health strategies
  • Development of PHM scorecards
  • Implementation of health coaching programs

The business case for 'better health' is compelling. We urge employers to become familiar with the case studies and tools provided through the Partnership for Prevention.

C.M. Smith also strongly endorses the goals of the Healthy Workforce 2020 initiative.
 
* - Hewitt Associates, 2003