Integrated Data Warehouse
In the quest to offer sustainable healthcare programs, self-funded employers often struggle with a lack of access to integrated worksite information. While nearly all employers engage with vendors that deliver aggregate reporting, this data is generally two-dimensional as it fails to extract simple behavioral relationships (the why behind the what in benefit consumption) related to the analysis of indicators like absence, health, and prescription drug consumption (among others).
We serve our clients by offering a fundamental re-conceptualization of employee benefits—one that does not treat one program in isolation of other programs—to provide insurance that promotes human capital while reducing workplace risk. This philosophy impacts everything from policy and plan redesign to holistic wellness, stop-loss attachment points to clinical intervention and consumerism, and allows a special emphasis to be placed on long-term strategic planning.
New Measurement Tools
Missio Benefits will utilize an integrated data repository which will enable our partners to use predictive data analytics to better understand healthcare consumption, where it’s concentrated, and how misaligned economic incentives lead to waste and increased risk to health. Empowered with this functionality, we will be able to steward our healthcare program with clarity far beyond what the faith-based community has been able to produce in the past.
Targeted High-Risk Intervention
Person-Centric vs. Disease-Centric
In order to effectively reach those who truly need help, Missio Benefits has adopted a clinical prevention service from a leading independent vendor designed for high-risk/high-need individuals and their families that provides information, education, and decision support to help people own their health and manage decisions to consume medical services and reduce inefficiencies. As a primary health service, clinical prevention is synergistic with primary medical care and a bridge to specialty medical care. It is also collaborative with health management programs and is staffed by a master’s-level nurse and pharmacist clinician team.
This clinical intervention solution utilizes the predictive risk index to provide the right service to the right person at the right time with measurable performance metrics and ROI outcomes—helping to reduce spending, improve the quality of care, or both. This solution is different than traditional disease-focused care management programs in that decision support is provided not only for health and disease conditions, but also for accompanying life issues such as finances, work, and family concerns (whole-person well-being). Decision support continues after the initial high-cost episode is over—significantly reducing the risk for a repeat episode.