April 2018

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2017 Cost Results Through the Third Quarter with UnitedHealthcare

Results through the first three quarters for BHCG employers using UnitedHealthcare's network were recently presented to BHCG member employers. Some of the highlights include:

  • For the first nine months of 2017, the average paid per member per month cost for all BHCG member employers increased by only 1.3 percent compared to the same period in 2016. This is 11.7 percent below UnitedHealthcare's national book-of-business norm1
  • Employees and spouses of BHCG employers that are highly engaged with Premium providers showed an 11 percent lower spend, when compared to adults with low utilization of Premium Providers, after adjusting for high cost claimants and claim risk differences2

  • 1National norm, based on 12 months incurred with 3 months run-out.

    2 Dates of Service 1/1/2017–9/30/2017 and paid through 12/31/2017, 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.

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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.