Core & Advanced Analytics: Unlocking the Power of Benefits

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© 2015 Benefi+ocus.com, Inc. All Rights Reserved | Confiden@al & Proprietary 1 1 © 2015 Benefi+ocus.com, Inc. All Rights Reserved Core & Advanced Analy@cs: Unlocking the Power of Benefits Phil Bruns

Transcript of Core & Advanced Analytics: Unlocking the Power of Benefits

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved  |  Confiden@al  &  Proprietary       1  1  ©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved      

Core  &  Advanced  Analy@cs:  Unlocking  the  Power  of  Benefits  Phil  Bruns  

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Forward-­‐Looking  Statement  This  presenta@on  may  include  forward-­‐looking  statements  related  to  the  future  business  and  financial  performance  of  Benefi+ocus  and  future  events  or  developments  involving  Benefi+ocus.  These  statements  may  be  iden@fied  by  words  such  as  “expects,”  “looks  forward  to,”  “an@cipates,”  “intends,”  “plans,”  “believes,”  “seeks,”  “es@mates,”  “may,”  “might,”  “will,”  “could,”  “would,”  “should,”  “targets,”  “projects”  or  words  of  similar  meaning.    Forward-­‐looking  statements  can    involve  a  number  of  risks  and  uncertain@es  that  could  cause  actual  results  to  differ  materially  from  those  explicit  or  implicit  in  the  forward-­‐looking  statements,  including  fluctua@ons  in  those  results,  general  economic  risks,  management  of  growth,  the  need  to  innovate  and  deliver  useful  products  and  services,  our  ability  to  compete  effec@vely,  reliance  on  key  personnel,  privacy,  security,  regulatory  changes,  and  other  risks  associated  with  our  business  as  set  forth  from  @me  to  @me  in  our  filings  with  the  SEC.  Some  of  the  products  and/or  product  features  discussed  in  this  presenta@on  may  be  works  in  progress  and  not  yet  generally  available  for  sale.  Benefi+ocus  assumes  no  obliga@on  and  does  not  intend  to  update  any  forward-­‐looking  statements.    

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Benefi+ocus  Data  Cloud  

Guided  Benefit  Shopping  

Understanding  Employee  Usage  

Flex  Query  Tool  

Core  Analy@cs  Dashboard  

Advanced  Analy@cs  

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Data  Aggrega@on  Opportuni@es  

Healthcare  Experience  Data  

Member  Demographics  

Shopping  Tendencies  

Usage  Preferences  

Plan  Details  

HRA/Biometrics  

Benchmark  Values  

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Transforming  Data  into  Informa@on  

Web  Stats  

Core  Analy@cs  

Advanced  Analy@cs  

Flex  Query  Tool   Member  Claims  Data  

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Guiding  Your  Employees  

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How  do  your  Employees/Member  use  their  tools?  

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How  do  your  Employees/Members  Use  Their  Tools?  

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How  do  your  Employees/Members  Use  Their  Tools?  

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You  Never  Know  What  Someone  is  Going  to  Ask  You  

•  Display  Fields  •  Filters/Comparisons  •  Predefined  Queries  •  Report/Query  Types  

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Flexible  Query  Tool:  Eligibility  Data  

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Example:  Targeted  Mailing  List  

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Core  Analy@cs  •  Dashboard  View  of  Plan  •  Trending  •  Benchmarks  •  The  Most  Relevant  Metrics  

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Core  Analy@cs  Dashboard  

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Core  Analy@cs  Dashboard  

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Core  Analy@cs  Dashboard  

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Core  Analy@cs  Dashboard  

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Advanced  Analy@cs  •  Filtering  •  Member  Subsets  •  Reach-­‐Through  Func@onality  •  Schedule  Reports  for  Automated  Delivery  

•  Model  Benefit  Plan  Changes  

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Diabetes  Diabe@c  management  medica@ons,  including  insulin,  megli@nides,  miscellaneous  an@diabe@c  agents,  non-­‐sulfonylureas,  other  an@-­‐hyperglycemic  agents,  sulfonylureas,  thiazolidinedione.  (ACG)  

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One  Place  Example  

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Data  Groupings  

PPO  Only   PPO  for  Western  Region  

HDHP  for  CA  

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Determine  which  educa@onal  programs  are  most  needed.    

What  Can  Data  Analy@cs  Do  For  You?  

Should  we  spend  our  wellness  budget  on  encouraging  exercise  or  offering  mobile  mammograms?    

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Decide  if  your  provider  network  is  mee@ng  your  employee’s  needs.  

What  Can  Data  Analy@cs  Do  For  You?  

Is  the  high  rate  of  ER  usage  in  that  region  due  to  a  lack  of  in-­‐network  primary  care  physicians?  

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Evaluate  the  success  of  your  prescrip@on  drug  benefits.  

Are  drugs  that  treat  our  most  common  chronic  condi@ons  available  through  the  formulary?  

What  Can  Data  Analy@cs  Do  For  You?  

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The  Benefi+ocus  Data  Cloud  can…  •  Make  your  job  easier  •  Make  your  CFO  happier  •  Help  your  associates  get  the  most  from  their  benefits  

•  Develop  beper  partnerships  with  your  vendors  

•  Get  the  most  value  from  your  benefits  dollars  

 

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Core  &  Advanced  Analy@cs:  Unlocking  the  Power  of  Benefits  Phil  Bruns