Claims data and healthcare savings

How Claims Data Can Help Employers Find Hidden Healthcare Savings

Managing healthcare spending can be challenging for employers. Premiums, employee needs, and medical expenses can all change over time. Claims information can give businesses a clearer picture of where their healthcare dollars are being spent.

Claims data and healthcare savings can help employers spot spending patterns, understand how their health plan is used, and identify areas that deserve a closer look.

Understand Where Healthcare Spending Goes

Claims information can show employers how their health plan is being used. Reviewing this information can help identify common types of medical services, prescription spending, or areas where costs are higher.

This does not mean every high-cost claim is a problem. Instead, the information can help employers understand their overall spending and make more informed decisions about their benefits strategy.

Look for Spending Patterns

Healthcare claims can reveal patterns that may not be obvious when looking only at total plan costs. Employers may notice recurring expenses, frequently used services, or areas where employees could benefit from additional support.

Understanding these patterns can help businesses decide where further research may be useful. It can also inform discussions with a benefits professional about plan options.

Compare Costs With Benchmarks

Claims information can be even more useful when reviewed alongside other cost information. Employers can compare their current spending with relevant benchmarks to better understand how their plan compares with similar businesses.

An employee benefits benchmark calculator can also help employers review benefit costs and identify areas that may need attention.

Explore Different Plan Options

After reviewing claims information, employers may want to consider whether their current plan structure still fits their organization. Changes in workforce needs or healthcare spending may make it worth exploring other approaches.

For example, level-funded health plans may be an option for some businesses to consider when reviewing their benefits strategy and managing healthcare costs.

Work With a Benefits Professional

Claims information can be detailed, and employers may not always know how to interpret it. A benefits professional can help businesses review available information, understand their options, and identify areas that may need further attention.

Businesses can explore employee benefits solutions to learn more about approaches that can support both employees and business goals.

A free employee benefits analysis can also help employers take a closer look at their current benefits strategy.

Final Thoughts

Using claims information can help employers better understand their healthcare spending. Reviewing spending patterns, comparing costs, and exploring different plan structures can provide useful information when making future benefits decisions.

Claims data and healthcare savings can support a broader strategy for managing costs while continuing to provide valuable coverage to employees. JS Benefits Group helps businesses review their benefits and explore options based on their needs.

 

Author

  • Jennifer Schaefer

    Jennifer Schaefer, MBA, ChFC, SHRM-SCP – Employee Benefits Expert | HR Leader | Certified Corporate Wellness Specialist As founder & CEO of JS Benefits Group, Jennifer Schaefer has spent 30 years helping employers lower healthcare costs through level-funded and self-funded plan design, claims data analysis, and benefits programs that keep good people from leaving. She writes for the Forbes Business Council, co-hosts Executive Leaders Radio, and has been quoted in the Philadelphia Inquirer on employer health costs.

Share this article. Choose your platform!

You may also enjoy these related articles.