Seven Benefits of Data Mining for Health Plan Design

1. Determine what diseases and conditions are driving trends.
2. Target intervention to high-risk segments of the population and those who need the most care.
3. Identify gaps in medical treatment and direct employees to the proper care.
4. Identify the best, cost-effective network providers and guide employees to use them.
5. Improve health habits through wellness, health promotion, education and care-management programs that increase awareness and engage employees in their own care.
6. Measure the performance of vendors and administrators and hold them accountable for quality, cost-effective treatment by comparing their results to national benchmarks.
7. Determine what level of cost-sharing improves employee health and cuts cost.

Notes: PayerFusion highlights seven benefits of data mining for self-funded health plans.