What percentage of members does the speaker say drive 80% of costs?

Andy NearyI help insurance professionals turn brand awareness into business growth.

SOTSQ Episode 7: Medical Management: An Effective Way to Impact SIZE and FREQUENCY

5 Jul 2018 · 1 min

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0:45

Andy Neary explains that to reduce the size and frequency of medical and pharmacy claims (noting that roughly 20% of members drive 80% of costs) employers should provide employees access to an independent medical management solution. He uses a golf analogy: relying solely on an insurance company is like giving employees a single golf club, whereas a world-class health plan supplies a full bag of tools and an effective medical management function that acts like a caddy to guide employees to the right care, place, time, and price. He closes with a call-to-action inviting viewers to contact him for help identifying solutions.

Questions this video answers

20%

Chapters

So how do you impact the size.
And frequency of the medical and pharmacy.
Claims coming.
From those 20% of your members driving 80% of your costs?
Simple. Give your employees.
Access to an independent medical management solution. You see right now.
Folks, the medical.
Management you're giving your employees through your.
Insurance company is no different than you giving your employees one golf club and.
Telling them to go out and play a round of golf.
It's going to be ineffective, frustrating, there's going to be a lot of bad decisions. You see, building a world class health plan requires you to give your employees an entire bag.
Of golf clubs, an.
Entire bag of tools, and the right medical management acts as the caddy to help your employees determine which club to use, which tool to use based on the healthcare need, and helps them find the right care at the right time.
At the right place, at the right price. Now, if you're.
Unsure of which medical.
Management solutions.
Are out there, shoot me.
A message and I'd be happy to share a few ideas.