Continuing to outperform the market – highlights of the Performance Scorecard

The 2012 performance scorecard is intended to identify how the BHCG as a group and Humana are performing compared to baseline measures and benchmarks. Some highlights include:

  • In 2012 self-funded member employers experienced a 2.6 percent decrease in medical costs (calculated prior to benefit application to eliminate the impact of benefit design changes) per member per month compared to 2012. This compares with a 7 percent increase for the southeast Wisconsin market as a whole.
  • Over the past seven years the BHCG’s self-funded member employers have experienced an average annual increase in health care costs of 1.6 percent per health member per month when compared with 2005 base-year costs. Over this same seven-year time frame, costs in southeast Wisconsin have increased an average of nearly nine percent per year. In the past seven years, BHCG self-funded employers have saved approximately $773 million when compared with the southeast Wisconsin’s market trend over the same period.
  • Generic utilization of retail prescription drugs rose from 75 to 79 percent for self-funded employers and from 77 to 80 percent for fully insured employers.
  • Generic utilization of mail order prescription drugs rose from 67 to 75 percent for both self-funded and fully insured employers.
  • From 2011 to 2012, member registration with increased from 57 percent to 60 percent for ASO (compared with 49 percent of Humana’s book of business) and from 44 percent to 48 percent for fully insured companies (compared with 46 percent of Humana’s book of business).
  • Humana’s service unit exceeded its 2012 performance goals for measures such as claims processing accuracy and turnaround time, telephone response time and call abandonment rates. The claim audit performed by Towers Watson showed Humana exceeded all of their benchmarks.
  • In 2012, 57 percent of ASO employers offered a consumer directed health plan (CDHP) (compared with 35 percent of Humana’s book of business) while 23 percent of fully insured employers offered a CDHP (compared with 13 percent of Humana’s book of business).

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