Actionable Insights for Healthier Employees & Families

It’s no secret that employers and employees are both struggling with the problem of spiraling healthcare costs. HDI’s Population Intelligence (PI) is the best choice for companies determined to reverse this trend. PI provides the insights you need to take intelligent action against the real root causes of unhealthy populations and mounting healthcare costs.

The following 10 Use Cases illustrate how companies use PI to answer their “high leverage” questions about their employees’ healthcare. These Use Cases describe the specific tools that PI offers to help companies dramatically improve their employee health and significantly reduce their healthcare costs.

10 Important Questions ­& How Population Intelligence Addresses Each

1. Who are our company’s riskiest members? What are they costing us?

Utilization Cost Dashboard

  • Sophisticated statistical modeling, based on the Johns Hopkins ACG system, to forecast costs across risk categories, 12 months into the future.
  • All members risk-adjusted and stratified into one of 6 high-level risk groupings.
  • Meaningful insights into pattern and flow of cost and utilization across the population.

2. What chronic conditions are most prevalent in our population?

Disease Prevalence Dashboard

  • Reports displaying disease prevalence in the whole population.
  • The ability to drill down to entire chronic conditions and individual clinical profiles.

3. What are utilization patterns for our employees and their families?

Employee Utilization Dashboard

  • Stratification of risk, cost, and utilization patterns of employees and their dependents.
  • The most frequently visited care locations for each group.
  • The same type of analysis is available for all medical plans offered to employees, contractors, retirees, and more.

4. Which members are using the ED and Urgent Care for primary care?

ED and Urgent Care Utilization Dashboard

  • “Frequent Flier” reports showing the heaviest users of these high-cost services.
  • Additional detail displaying their geographical locations and clinical profiles.

5. How do we get a handle on medication adherence?

Pharmacy Profile Dashboard

  • Tracking of all prescriptions that have been written; monitoring whether chronically ill patients fill their prescriptions on time, as required.
  • “Action reports” spotlighting individuals whose prescriptions have lapsed, valuable for follow-up by case managers.
  • Insights about pharmacy costs, prescription patterns of individual providers and provider specialties, and drug utilization by members.

6. How do we measure provider risk burden?

Provider Profile Dashboard

  • Comprehensive risk profiles of providers across all chronic conditions, including average risk scores for each provider’s panel, cost, and clinical profiles.
  • Tools for efficient analyses and comparison of the risk and illness burden borne by individual providers across the entire population.

7. How do we ensure geo-access for our members and their families?

Population Mapping App

  • Reporting for geo-access analytics and for geographical tracking of disease prevalence by chronic condition, member demographics, prevalent health risks, and more.
  • A highly customizable map to geographically track an unlimited number of metrics within an organization and to ensure that organizations can better respond to changing demographics, provider access issues, member needs, and more.

8. Can we track and measure what’s happening over time?

Risk Trends Dashboard

  • Tracking for changes in the health status of members as well as new medical conditions that are occurring within the population.
  • Chronologically highlighting and graphical trending along with all associated costs to aid in the detection and aversion of negative clinical and cost trends.

9. How do I prevent folks from falling through the cracks?

Special Cases Dashboard

  • Monitoring of potentially high-use, high-cost individuals and groups who exhibit characteristics that may necessitate more proactive case management.
  • Profiling of groups such as maternity patients, frail members, and members with unusual categories of diagnosis.
  • Reports recommending individuals for closer monitoring and intervention by case managers and care coordinators.

10. What can we do with all this information? How can we intervene now?

Intervention Action Plan

  • More than simple identification of high-risk members.
  • Evidence-based intervention strategies built into Population Intelligence; allows for concrete, step-by-step actions to be taken based on the level of risk posed by each individual member or by entire disease groups.
  • Built-in links to the most up-to-date, peer-reviewed medical documentation to aid case managers and care coordinators in effectively managing members with chronic conditions.