Integrated Health Care: The Early Adopters
Does your fund have integrated benefits?
If so, your fund is considered an "early adopter" of integrated health care. Integrated health care is an innovative approach to health care and we are trying to understand the commonalities among early adopters. We commissioned SourceMedia Research Group, along with Employee Benefit News, to conduct a study among HR, finance and benefits professionals in August 2015 among 297 employers of all sizes in order to gain insights to employers' attitudes, perceptions and experiences related to integrated health care.
We found that early adopters of integrated health benefits are more likely to be:
- Large and very large organizations (51 percent had more than 1,000 employees).
- Integrating health care with pharmacy (64 percent), dental (55 percent) and vision (51 percent).
- Primarily focused on health cost savings (40 percent), followed by employee retention (26 percent) and employee health and wellness (23 percent).
- Measuring success or ROI based on medical cost savings (66 percent) and enrollment/participation (60 percent).
Not a large company that is focused on savings? That's okay. It doesn't mean that integrated benefits wouldn't work for you. These larger companies have just been the first to jump on board. Let's take a closer look on what having integrated health care means...and how it works.
How does an integrated health care approach work?
Integrated health care is an innovative approach to health care delivery that involves key partners in the health care system working together to share medical information. Insurance carriers analyze data within their medical claims systems and securely share relevant health information back out to a member and their providers (including primary-care doctors, specialists, eye doctors, dentists, care-manager nurses, behavioral health specialists and pharmacists). Providers then gain deeper insight into the member’s whole health, allowing them to offer the patient better overall care. In addition, companies enjoy administrative ease in benefit management because they are working with one insurance carrier.
A truly integrated approach will include:
- A centralized data repository for all benefit lines within the insurance carrier.
- Data analytics to develop meaningful insights on preventive care, drug safety, medication adherence and gaps in care.
- Bidirectional data sharing between providers, care managers, patients and the insurance carrier.
- Secure, HIPAA-compliant data transfers and messaging between claims systems and providers.
Don't have integrated health care at your fund? Contact an Anthem Sales representative to learn more.