Health Risk Management

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Components of Health Risk Management

KNOW YOUR POPULATION

The Coalition works with employers to identify and understand the health risks of an insured population.  Risk such as: age/gender, high turnover, level of risk (healthy, at risk, acute, chronic, and catastrophic)

DATA OWNERSHIP/MANAGEMENT

Managing health data, HIPAA compliant, is the only way to make informed decisions regarding appropriate actions to take to reduce or control those risks.
Significant sources of data include:

CONSUMER ENGAGEMENT

The Coalition works with employer members to develop a “culture of health” where having and maintaining good health is an expectation for working in that organization.  Consumer engagment requires creativity in providing incentives, meaningful communications, and making changes to the work environment.   This is a critical step in motivating a covered population to participate in actions that improve health and productivity.

CLINICAL MANAGEMENT/INTERVENTION

Effective interventions are needed to ensure that the population is receiving the education, care and treatment needed to improve their health.  Improving health is the key measure of the effectiveness of a program.

EFFECTIVE/EFFICIENT PROVIDERS

Employers should seek out providers (hospitals, physicians, vendors) who produce the best possible outcomes.  Provider compensation and incentives should be aligned with the goals of effective health risk management.  The Coalition provides members with the resources and tools necessary in comparing provider performance.

RETURN ON INVESTMENT

To justify continued financial investment in the health risk management process, employers need to show that improvement is being generated within each of the components of the risk management process.  The Coalition works with employers to identify measures to calculate ROI.

If you are interested in learning more please contact:

Pam Sawicki at 864 467-3255 or psawicki@scbch.org