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Self-Funded Solution #10: Health plan data is power. Know how to get it--and use it.

Posted by: Geoff Mukhtar    Apr 24, 2017

UBA Strategic Partner of the Month Spotlight: UMR

Managing a health plan with limited claims data, issued only once a month, can be an exercise in futility. You and your clients can achieve more if your TPA makes it a priority to provide easy-to-access, user-friendly, and actionable data.

UMR_2011_logo.jpgHealth plan data should yield insights, not just facts. The sooner you know about big claims and can spot trends, the better. A powerful reporting system gives you and your clients 24/7 access to claims data. With advanced reporting and data analytics such as risk stratification population management, you are able to see where members could benefit from new strategies and solutions.

When your reporting system allows you to analyze claims patterns, you can quickly confront challenges and enhance your plan’s performance. For example, if a report that segments claim trends shows a steady rise in ER visits for non-acute conditions, you could help your client launch an employee education campaign about the high cost of nonessential ER usage.

It’s a fact: Plan design refinements based on insights gained from a robust reporting system can help you guide clients to better support their employees, and fortify your client relationships. Look for a TPA that makes reporting a hallmark of its value proposition.

For more information

Start the conversation today by contacting Ted Georges at ted.georges@umr.com or call him at (614) 410-7445 for more information.


Visit the UMR page on the UBA Wisdom Network.

Topics: Strategic Partner

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