Health Innovations

Accurately Predicting Individual Employee Costs

Powerful Analytics Tools Allow You to Anonymously Engage Employees Who Are Increasing Your Costs

The Working Clinic™ brings powerful, predictive analytics tools to individually engage each employee with a personalized care plan to improve health and measurably reduce cost.

Our solution combines each employees’ medical records*, RX history*, treatment records in-clinic, insurance plan claims data, TPA data, and demographic information (*when provided) on a monthly basis to be analyzed against over 2 million other employee datasets by powerful AI algorithms to create highly accurate predictions about the type of care an employee is likely to require, how much that care will cost, and what future risks are likely to impact the employee’s health without intervention. The solution identifies employees that traditional wellness screenings miss, usually the ones in the greatest need of care and the highest cost to your organization. This individual information is passed to our team of physicians who prioritize those who would most benefit from an individual care plan. Then, under the doctors direction, our on-site professional is able to reach out to the individual discretely and offer personalized assistance. We never identify individuals to the employer, preserving the integrity of the trusted relationships we build between patient and provider acting in a health population management role.

Employers have access to high-level information about the drivers of health care spending, trends among the employee population, and data-driven expectations of expected actual costs. In this way, the employer is empowered to make more informed decisions about health plan options, employee behavioral incentive programs, organizational policies, injury prevention and ergonomic program effectiveness, and workplace safety initiatives.

Predicting & Identifying Cost Risks

Instead of reacting to risking cost, predictive analytics allows you to be proactive by knowing what your employees are facing in the next year.

Anonymous information about your at-risk employees can be provided to help you answer critical questions about your plan, such as:

How the plan is running financially vs what was expected
What disease states and large claims are driving your costs
What claimants are most likely to drive future healthcare claims
How successful are health management vendors in preventing disease or diagnosing it in it’s earliest stages

Access to the employee health data would allow the physician to see a holistic view of each employee including:

What treatment has been received in the past year from providers and the clinic
A timeline view of all claims paid in the last year, showing details of each claim
What conditions are driving the employee’s costs in the next year
All Gaps in Care with the capability to edit from the clinic physician
What medications the employee is taking and if they are compliant in taking their maintenance prescriptions
All lab work done in the past year from the providers and the clinic.

Healthcare With a Proactive Approach

By identifying at-risk employees, our onsite healthcare professional can work with these employees to lower their risk.

Without identifying the at-risk employees to the employer, The Working Clinic™ can develop personalized assistance plans, under physician direction, to discretely work with the employee to decrease their risk at developing a chronic disease. Our providers maintain strict confidentiality at the individual level, this level of visibility allows them to target efforts on the employees that need it most, proactively addressing the health issues (or even predicted issues) of the employees most likely to drive health care costs to your organization.

Through consistent, convenient and confidential assistance, the employees can use their personalized plans to meet goals set forth by our onsite healthcare professional and the physician. Various personalized plans can include:

weight counseling and management
nutrition counseling and advice
stress management programs
step programs with provided pedometers
group ‘lunch and learn’ sessions
tobacco cessation counseling
and more…

By working with these at-risk employees, employer not only gain happier and healthier employees, but also avoid claims and develop a healthier bottom line.