An article published today on
Financial Week's website explains why companies who want to save more on health care must first spend more on healthcare:
While it sounds counterintuitive at first,
experts in the health-care industry are suggesting that companies that
implement wellness programs are now starting to show returns on those
investments, specifically in the form of lower health-care costs.
“CFOs have always viewed health care as an expense, but rarely as an
investment” said Jerry Ripperger, director of consumer health at the
Principal Financial Group. “But improving the health of your employee
base, rather than simply providing reimbursements, is an exercise in
risk management with a true ROI.” (You can read the entire article here.)
Studies show that for any given plan, approximately 4% of the plan
participants are driving approximately 60% of the total plan costs. So
disease management/wellness programs and the industry as a whole pour
millions of dollars into treating that 4%. But what is happening to
the other 95% of the plan population who are walking around with
unknown risk factors that will eventually put them in the 4% category?
Unfortunately, in general -- not much.
PremierSource has
identified and partnered with leading specialists in the industry who
have developed a unique program for identifying and preventing the
“next round of 4% drivers” before they ever jump into the 4% category.
Where the industry as a whole seems to be taking a shotgun approach to
wellness, spending hundreds of thousands of dollars on wellness
programs that appeal to the masses but affect very little overall
impact, our teams begin with a rifle approach to specifically targeting high risk candidates. From there, we help employers develop
customized programs to impact the greatest change among those at
highest risk for developing metabolic disease. We’re helping to catch them
early -- before they become your 4% claims drivers!
Our unique
programs further allow employers to integrate health risk assessment
data and utilization data to begin to truly quantify the impact of
wellness programs and the ROI of their wellness investments. Through
very sophisticated analysis and reporting, over time employers can
literally watch the progress of their plan population moving from high
metabolic risk categories, to moderate and low risk categories…and in
the process, review reports that help them calculate both the
opportunity cost and the overall ROI.
Posted on Wednesday, January 9, 2008
by Brad Neese
filed under