Employers

Employers are trying to capture the best from their health care investments--managing the flow of dollars while providing the right solutions for their employees. In addition, they are willing to try different change levers such as employee cost-sharing, vendor selection, and wellness initiatives. But even the companies that best manage trend increases are facing costs that will eventually outpace earnings. Benefits Managers can be found scrambling to add more analytic rigor to health benefits decisions and to bring data to the table as they make difficult plan decisions.

Zenger Analytics outfits benefits managers with the information they need to better secure health plan performance. We integrate all available data sources to answer questions such as:

  • Do you know what is driving your organization's health care cost increases?
  • What opportunities exist to improve the performance of the benefit plans?
  • Are the care management programs actually managing care?
  • Which high-cost illnesses and disabilities could your organization manage better?
  • What specific performance guarantees and management strategies should you implement?

 

Zenger Analytics helps employers get the organized and accessible data they need to identify short-term cost savings and provide ROI on existing programs.

 

Solutions for Employers
We offer a number of services to our employer clients.

 

Benefit Plan Performance Review

Zenger Analytics offers a full-service solution to systematically reduce plan costs and justify plan changes using integrated and organized data. Our consultants will:

  • Review claims data to identify cost drivers
  • Recommend plan performance opportunities
  • Initiate processes for self-monitoring ongoing plan performance

 

Additional components can include:

  • Health Vendor Performance Analysis
  • Disease Burden Analysis
  • Management Scorecard

 

Benefit Plan Performance Monitoring
Zenger will establish a disciplined process for monitoring the performance of your benefits plan over time. Think of this as applying Six Sigma concepts to benefits management. Our consultants will:

  • Assess current data assets
  • Design dashboards and management reports
  • Develop processes to capture and analyze plan performance measures
  • Initiate processes for on-going self-monitoring of plan performance

 

Third-Party Data Warehouse Data Mining

Using one of the 3rd party data warehousing vendors (such as Thomson Reuter, Ingenix, HDMS, and others), Zenger will access your data, analyze your data, and execute a Benefit Plan Performance Review and implement a Plan Performance monitoring process (see above).

 

Data Warehouse Vendor Management

Zenger Analytics maximizes your relationship with your data warehousing vendor by guiding you through the vendor selection process; identifying the appropriate data warehousing partner; and negotiating contract terms including fees and performance guarantees.

 

Analysis of Co-sourced Data (Internal data warehouse)
In cases where your organization is equipped to produce reports, Zenger Analytics provides expert interpretation of reports from your integrated data warehouse, strategic advice, and appropriate recommendations.

 

Health Plan/TPA Vendor Management

Zenger Analytics maximizes your relationship with your health plans and TPAs by:

  • Constructing vendor reporting processes that support performance measurements
  • Evaluating health plan performance based on a combination of standard vendor reports and customized data requests
  • Establishing achievable performance targets with associated performance guarantees