Health Care Data Analytics
 The professionals at Stalwart Insurance have managed medical benefits programs for hundreds of employer groups in an effort to keep costs below comparable levels experienced by other employers. Our aggressive management technique includes a number of internal medical management and preventive health initiatives.
As the health care industry continues to change, our firm remains ahead of the game. With leading-edge technology, we are able to obtain meaningful information that helps us evaluate cost drivers, trends and savings opportunities associated with our clients’ benefits plans. In addition, we work to evaluate the impact of various plan management initiatives and forecast the impact of future plan changes.
What can Stalwart do for you?
Help determine the root causes of medical cost and utilization problems
Offer a sophisticated plan modeling tool to help measure the impact and effectiveness of plan design changes
Benchmark your claims experience against nationally recognized norms
Provide complex information in an easy-to-use and understand format
Help you formulate cost-cutting strategies to implement in your workplace
The Health Plan Management Report exhibits include:
Total Health Plan Costs
Health Plan Cost Trend by Month
Total Medical Claims Cost
Employee versus Dependent Claims
Inpatient & Outpatient Claims
High Cost Claimants
Paid Claims Distribution
Inpatient Analysis
Inpatient and Outpatient Surgery Procedures
Emergency Room Visits
Office Visit Utilization
Inpatient Behavioral Health Utilization
Outpatient Behavioral Health Utilization
Analysis by Major Diagnostic Category
Lifestyle-related Claims
Preventive Care Utilization
Disease Management
Stalwart Insurance Agency also offers an Rx Management Report, covering topics such as paid summary, PMPM, total member cost share, retail vs. mail service, brand vs. generic utilization, high cost claimants and more.
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