Health Benefits Consulting

Obtain higher levels of information, service, and actionable solutions focused on increasing health plan efficiencies and lowering costs.

Are you struggling to provide a cost-effective and solution-minded health insurance plan in the wake of the Patient Protection and Affordable Care Act (ACA)? Populytics’ expertise combines a rich foundation of benefit administration experience with the power of predictive analytics—where retrospective and prospective claims and clinical data can be analyzed to predict future trends. The goal is to reduce employee absenteeism, increase health care engagement, and improve care.

Our health benefits consulting services uncover opportunities for health plan design modification in part or whole with insights into data such as:

  • Chronic condition incidence
  • Health care utilization patterns
  • Cost drivers
  • Health care activity
  • Gaps in care

As an all-in-one solution, Populytics develops an effective work plan for integrated care management and facilitates solutions such as:

  • Rerouting frequent emergency room utilizers
  • Avoiding minor inpatient admissions
  • Closing care gaps
  • Streamlining care by connecting employees with primary care physicians
  • Creating a match to the optimal specialist for a specified health condition

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