Analysis and Planning
Below is list of tools designed to provide baseline and ongoing program evaluation used to make the business case, determine value-on-investment, and guide strategic planning.
Analysis and Planning
Below is list of tools designed to provide baseline and ongoing program evaluation used to make the business case, determine value-on-investment, and guide strategic planning.
This instrument is an innovative medical claims analysis tool, which assists organizations in identifying their most costly lifestyle-related risk factors that are modifiable and preventable. Additionally, CalcuL8 identifies productivity loss costs associated with these risk factors. CalcuL8 projects future healthcare-related costs for the company and provides break-even analysis scenarios and return-on-investment projections for interventions related to the company’s most costly lifestyle-related risk factors.
The ROI/VOI calculator helps determine program effectiveness by evaluating cost savings from risk reduction and program investment within the organization. Risk prevalence will be compared from baseline to follow-up. If risk prevalence data is available over multiple years for a cohort, a year-over-year ROI can be calculated. The ROI tool can also be used to project savings from baseline by entering a variety of outcome scenarios for subsequent years. The ROI/VOI tool uses medical and productivity risk factor costs identified through a combination of research and an extensive proprietary risk factor cost database.
Along with risk prevalence, HIS will include program costs, such as staffing, administrative fees, consulting, and other investment costs. Vendor costs can be separated out to portion out the investment and outcomes from vendor(s). Median annual compensation is used to determine the health-related productivity loss costs ROI portion. Program ROI will be provided in four outputs: medical only, absenteeism only, presenteeism only, and overall ROI (medical and productivity combined). Results are provided in a brief report with important information regarding ROI/VOI and how the results can be interpreted.
Quantitative data does not typically tell the whole story when looking at the efficacy of a health improvement program. The purpose of the Stakeholder Interviews is to gather qualitative data from various stakeholder-group representatives to determine:
A final report and senior management presentation is submitted that summarizes the recurring themes from the interviews, and includes clear recommendations related to the program as well as considerations for the organization to work through.
Health risk assessment data, coaching outcomes, and claims data will be analyzed among participants and non-participants. Those participants completing the HRA and enrolled in the coaching follow-up program will be compared to non-participants. Differences in claims costs among these two groups will assist with determining if program participation and outcomes have a practical and statistically significant effect on total health care claims. Differences in absenteeism rates among these two groups will assist with determining if program participation and outcomes have a practical and statistically significant effect on absenteeism. Depending on how the data is coded there may be an opportunity to examine the health-related absenteeism effect versus total absenteeism. The organization is provided a report showing a comparison between participants and non-participants by MDCs and total costs will be provided.
Health Improvement Solutions can assist organization and community representatives with development of a comprehensive strategic plan. The strategic plan takes the organization’s evaluation plan into account, as well as the integrated health improvement program. In addition to the plan, various baseline measures are offered by HIS. Results from these measures become part of the strategic plan and also provide additional data for program planning and ongoing evaluation. The strategic plan can be delivered as a stand-alone service, or it can be an additional component to the evaluation plan execution and development.