March 2017

linkedin  Facebook  Twitter  YouTube

Measuring our success...

2016 UnitedHealthcare Results

2016 results for BHCG employers using UnitedHealthcare’s network were recently presented to BHCG member employers. Some of the highlights include:

  • Employees and spouses of BHCG employers that are highly engaged with Premium providers have shown 15 percent lower spend, when compared to adults with low utilization of Premium Providers, after adjusting for high cost claimants and claim risk differences.i
  • For 2016 it is estimated that BHCG’s self-funded member employers experienced a 10 percent per member per month decrease in medical care costs compared to 2015.
  • Over the past eleven years BHCG’s self-funded member employers have experienced an average annual increase in medical care costs of 1.5 percent per health member per month when compared to 2005 base-year costs. Over this same 11-year time frame, costs in southeast Wisconsin have increased on average between five and 10 percent per year.

Best Doctors, BHCG’s informed decision making vendor since 2012, recently reported its 2016 results for BHCG self-funded employers

The Best Doctors program, utilizing the world’s top physicians, offers consumers facing difficult medical decisions access to expert medical consultations in addition to a range of other tools and resources so they may have the confidence to make informed decisions about their care. Highlights of 2016 results for self-funded employers include:

  • Employees or their dependents placed 634 calls to Best Doctors
  • 328 Find A Best Doctor services were provided
  • 5 Ask The Expert services were provided
  • 133 InterConsultations were provided
  • Diagnosis changes were made in 40 percent of the cases, while treatment recommendation changes were made in 80 percent of the cases
  • Total realized cost savings of more than $1.1 million, resulting in an ROI of 1.56:1

BHCG continues to be committed to assisting employees and their dependents in becoming better consumers of health care. The services of Best Doctors help BHCG and its member employers meet that commitment.

i Dates of Service 1/1/2016-12/31/2016 and paid through 12/31/2016, Limited to members in the Milwaukee, WI member market, Limited to subscribers and spouses only (Excludes dependents). Excludes Catastrophic Claimants >$100,000 in medical spend, Highly Engaged members have 75% or more of their Premium spend at Premium Tier 1 providers (Quality & Efficient). Low engagement is <75% of the Premium eligible spend. Savings is based on Covered spend (before member cost share) on a per member basis after adjusting for claim risk score

Return to The Catalyst

The Business Health Care Group leverages member employer purchasing power and knowledge to lead change. We create value through innovative shared strategies to improve health care quality and cost efficiency for employers, employees and the community. BHCG membership exceeds 200,000 covered lives in the 22-county region of eastern Wisconsin.