Category Archives: The 5%

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

Healthcare Reform Webinar Series: Video 1

HCMS Group CEO Dr. Hank Gardner and CCO Shawn Petrini, MSN discuss “big data,” current trends in healthcare reform, the 5% of a population that is driving over 50% of health benefit costs, and an effective healthcare reform model in HCMS Group’s first webinar in the Healthcare Reform Series. Discover how multiple health plans drive… Continue Reading

Video 5 of Hank Gardner’s Series: Human Capital Risk Index — Population Risk Stratification

In order to manage risk, you need to be able to predict it. Health benefit costs continue to rise at an unsustainable rate. Thirty to forty percent of costs are driven by over-utilization and waste. This waste cannot be analyzed with reactive cost reports and analytics; you need a comprehensive, predictive risk assessment. HCMS Group’s… Continue Reading

Video 4 of Hank Gardner’s Series: The 5% of employees driving over 50% of benefit costs

Population Turnover in the “5% Group” Earlier videos have demonstrated how 5% of an employee population is driving over 50% of benefit costs. Hank Gardner’s fourth video focuses on the management opportunity of understanding that people migrate in and out of this 5% high-risk/cost group. This video answers the following questions: How is “the 5%”… Continue Reading

Video 3 of Hank Gardner’s Series: Which benefits are driving your company’s cost waste?

Employee Population Risk Stratification with an Integrated Benefits View As we have presented in earlier videos, we know that 5% of employees drive over 50% of a company’s health benefit costs, but which benefits are driving the most cost and waste? Watch the third video in Dr. Hank Gardner’s “New Thinking Paradigm” Series to hear his… Continue Reading

Video 2 of Hank Gardner’s New Thinking Paradigm Series

    Dr. Harold (Hank) Gardner is the founder and CEO of HCMS Group. His 40+ years of experience in healthcare delivery, health economics, and health professions education coupled with the use of HCMS’s unmatched Research Reference Database (RRDb) fuels his “new thinking” disruptive solutions for the healthcare cost and quality problem. Dr. Gardner’s second… Continue Reading

Health Risks and Cost Risks are not the same

The weak association between health risks and near-term health care utilization There is a widely-held belief that companies can reduce healthcare costs by encouraging healthy behaviors. This presumption is based on decades of research showing that: a) Health risks (such as smoking, inactivity, and obesity) increase the chances of chronic disease      over time… Continue Reading

What makes a person expensive in healthcare? Not what most people think.

A question from the audience last month: “We spend the most in healthcare on a small portion of really sick people. You don’t expect them to shop for care during an emergency do you?” I was giving a presentation about the important role that cost-conscious consumers can and should play in healthcare. The person asking… Continue Reading