This week on Talking Pop Health, host Eric Tower takes a deep dive into population health in the workplace. He is joined by Jack Hill, Executive Vice President at Accountable Care Solutions Group (ACSG), an organization with over 40 years of experience that offers consulting, risk management, and population management services to medical providers, payers, employer coalitions, and group purchasing organizations.
With over 35 years of experience in health care, Jack discusses why ACSG opened a population health unit 10 years ago and how they built their program up based on health data. Jack and Eric discuss the many situations that may arise when developing a population health approach in the workplace.
Some highlights from their conversation:
On what drives health care costs:
“Most employers that don’t have access to claims or utilization data don’t know how to quantify the value of employee health care costs. Essentially, that’s why the price is so commoditized. The only basis I have for determining if the benefits I’m offering are of value is two things: price and a lack of complaints coming from my employees and their members.”
On measuring the cost of total claims:
“We measure it based on the initial time that employer becomes a customer of ours, so we determine their historical cost and measure that against the completion rates for the chronically ill. We adjust for plan design and contribution changes and then over time we continue to measure completion rates to the health index of the population, whether it’s improving or not improving, to the net cost of that employer.”
Starting a population health program in the workplace:
“We get really basic information from the insurance carrier because they don’t really have their reporting in such a format that you can take actionable steps about a population. So we’ll typically encourage the employer to have their employees do an HRA. That way we know it runs right in line with the 27 chronic conditions that we manage. So from that information, we can reach out to the patient and validate that information and use that as one basis for initially determining the illness burden of an individual and a population.”
Read the full transcript here.
Talking Pop Health: Episode guide