BHCG-Centivo High-Performance Health Plan Delivers Exceptional 2024 Results
2024 marked the third year a significant number of our member employers offered the BHCG-Centivo high-performance, primary care physician-centered health plan to their employees. Once again, this innovative, physician-guided model produced outstanding outcomes for employers, employees and their dependents.
On average, employers and health plan members paid 11.3% less compared to nationally recognized benchmarks.
BHCG-Centivo’s High-Performance Health Plan Results in Wisconsin versus Industry Benchmarks*
|
Metric
|
Centivo
High-Performance Health Plan |
Nationally Recognized Benchmark
for Mid-Size to Large Employers |
Percent Difference
|
|
Total Medical Costs PMPM
(Medical + Pharmacy) |
$622.88
|
$702.48
|
-11
|
|
Primary Care Physician Visits
(per 1,000 members) |
1,815
|
1,435
|
27
|
|
Preventive Visits
(per 1,000 members) |
773
|
620
|
25
|
|
Inpatient Admits
(per 1,000 members) |
48
|
52
|
-7
|
|
Emergency Room & Urgent Care Visits
(per 1,000 members) |
266
|
384
|
-55
|
*Centivo's analysis is based on claims from Wisconsin-based members enrolled in the Company's High-Performance Health Plan incurred from Jan.1 through Dec. 31, 2024, and include a reserve for claims incurred, but not yet reported or paid, by year-end.
Centivo’s 2024 results clearly demonstrate its primary care physician-centered model has influenced how plan members engage with their health plan benefits – leading to less inappropriate spending, enhanced decision-making and an overall better health care experience.
These results clearly demonstrate the impact of a primary care physician-centered approach. By fostering stronger engagement with health benefits, the plan has reduced inappropriate spending, improved decision-making, and delivered an overall better health care experience.