The Catalyst

The Catalyst

Measuring Our Success…

BHCG 2018 UnitedHealthcare™ Results

The 2018 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 11 percent lower spend when compared to adults with low utilization of Premium Providers (after adjusting for high cost claimants and claim risk differences [i]).
  • 2018 Medical Spend on a Covered per member per month (PMPM) basis is only 0.7% higher than the 2015 Covered PMPM, the year before moving to UnitedHealthcare, despite a 6.6 percent PMPM increase in 2018 medical care costs compared to 2017 [ii].
  • Over the past 13 years BHCG’s self-funded member employers have experienced an average annual increase in medical care costs of 2.2 percent per health member per month when compared to 2005 base-year costs. Over this same 13-year time frame, costs in southeast Wisconsin have increased on average between five and 10 percent per year and the national trend is even higher.

Data based on analyses performed by UnitedHealthcare and BHCG

[i] Dates of Service 1/1/2018-12/31/2018. Paid through 02/19. Total BHCG population. 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

[ii] PMPM trend was 1.3% had catastrophic PMPM (>$100,000) remained flat from 2017 to 2018. The number of catastrophic claims grew 12.4% from 2017 to 2018.

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