Mining Health Risk Assessments for Richer ROI and Results

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Healthcare Intelligence Network, 2006 - Medical - 46 pages
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-A powerful component of a health plans disease management toolkit is the Health Risk Assessment (HRA), which evaluates the populations health status and targets actionable programs to address identified risks. Implementing effective HRAs and mining the resulting data is a strategic means of harnessing healthcare costs and promoting consumer awareness. -In this special report, Mining Health Risk Assessments for Richer ROI and Results, HINs expert panelists explore the progressive evolution of HRAs. Gregg Lehman, PhD, president and chief executive officer, Gordian Health Solutions, Marlene Sigwalt, RN, MSPH, clinical consultant, Innovation Center, Humana, Inc., and Yan Zhang, research scientist, Humana, Inc. provide procedures, objectives, predictive capacities, consumer engagement strategies and results of these tactical questionnaires to identify risk before it becomes reality. -Youll also get case studies on the HRA programs at HealthAtoZ, Blue Shield of California and Aetna. -You'll get details on: -Evolutions in the HRA market; Risk stratification in the HRA; Ideas to incent HRA participation; Strategies for engaging physicians in the HRA effort; Case study of HRA implementation; Anatomy of Humana's in-house HRA development effort; Using HRAs to probe productivity; How an incentives program at Blue Shield of California cut claims cost in its first year; and Stratifying your population to identify next years high-risk population.-Table of Contents -HIN Survey Finds HRAs First Line of Defense in Population Health Management -Evolutions in the HRA Market -The Market Position -HRA Evolution -The Gordian HRA Model -Selective Branching Critical -Sample Online Questionnaire -HRAs as a Screening Tool -Risk Stratification in the HRA -Sample Health Risk Profile -Creating HRA Profiles -ROI in Population Health Management Strategies -DM Programs Yield Greatest ROI -Measuring Outcomes -The Human Condition -Lifestyle Incentive Programs -Ideas to Incent HRA Participation -Getting Physicians Involved -Healthcare Faces a Chronic Challenge -Chronic Care: The Burden of Illness-Same Time, Next Year: HRAs Help Rescue Risk Pool Drifters -Fine-Tuning the Message from the C-Suite-Getting What You Pay For: Cash Incentives Cut Claims Cost in First Year -Sample Questions from Blue Shield of California's HRA -Lessons Learned-On the Horizon: Using HRAs to Probe Productivity -Voluntary HRAs and Tempered Use of Incentives Is Best Strategy-Humanas Home-Grown HRAs: Anatomy of In-House Development -Humanas Health Management Strategy -HRA Application Architecture -HRA Process Flow -Sample HRA Results Screen -A Sample Population Rates the HRA -Going Forward -A Look at Satisfaction Ratings-Q&A: Ask the Experts -Dissecting the ROI -Keeping It Simple -Multiple Populations and the HRA -Determining Appropriate Interventions -Age-Related Concerns -Promoting Physician Engagement -Data Sharing and Application -The Movement to Standard Practice -Individual Impacts in PHM Analysis -The Role of Health Coaches -Member Qualification for Intervention -Match Case-Control Groups-Glossary -For More Information -About the Authors

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