Category Archives: Costs

Healthcare Reform Webinar Series: Video 3

The third video in our healthcare reform webinar series, The Pathway to Implementing a Single “Aligned Incentives” Health Plan, reviews why having this single health plan delivers the best results. Watch this live webinar recording as Dr. Hank Gardner, Justin Schaneman, and Neil Sullivan discuss, analyze, and evaluate population risk, actuarial versus econometric modeling, the… Continue Reading

Musculoskeletal Costs Nearly Twice that of Condition-Specific Costs

The figure below shows total musculoskeletal costs in comparison to other major chronic conditions for a collection of large employers in the HCMS Group Research Reference Database (RRDb). Musculoskeletal costs rank among the highest with respect to comorbidities and disability costs, with co-morbidity costs nearly twice that of condition-specific costs. Figure 2: Top Condition Comorbidity… Continue Reading

Musculoskeletal: Top Contributor to Total Claim Costs

Our next Health as Human Capital research blog entries will focus on people with musculoskeletal conditions. Using Major Diagnostic Category (MDC) disease classification, figure 1 illustrates the aggregate cost of musculoskeletal diseases compared to other common disease conditions. Musculoskeletal claim costs consistently contribute to over 20% of all medical spending, costing nearly twice as much… Continue Reading

Optimal Number of Primary Care Visits?

Introduction With the increasing interest in learning how to improve the use of primary care, we have modeled the optimal number of annual primary care visits related to health plan costs as shown in the graph below. Increasing primary care is a key element in the HCMS Aligned Incentives Health Plan as described in our… Continue Reading

Healthcare Reform Webinar Series: Video 2

In the second webinar in our healthcare reform series, HCMS Group CEO Dr. Hank Gardner and VP of Data Analytics Justin Schaneman discuss the Data Analytics used in the successful implementation of effective healthcare reform. Watch this live webinar recording and listen to a detailed analytic discussion on health plan selection bias, primary care, econometric… Continue Reading

Isn’t It Time You Knew… How Employee Tenure Status Drives the Use of Health Benefits?

The Analysis When an employee is about to be terminated, their consumption of health benefits increases by over 50%. Previous HCMS Group research indicates that the difference in cost for terminating employees is largely due to the incentives generated by their pending change in benefits coverage (55%). The rest of the cost disparity is explained… Continue Reading

Isn’t it Time You Knew… How Employee Compensation Impacts Human Capital Risk?

The Analysis Figure 1 illustrates the relationship between the HCMS Human Capital Risk Index® (HUI) and employee compensation. The HUI uses a broad set of person-centric integrated medical, pharmacy, and lost time metrics (including disability data) to produce the HUI risk score. The HUI score adjusts for most demographic variables such as age and gender.… Continue Reading