Client Consulting & Reporting

To access Information Connection or if you need further help with account reporting click below or email our team.

Key Information on Account Reporting

Information Consultant – Claims-based accounts and experience-rated groups with 100+ contracts are eligible for a personal information consultant. Information Consultants provide a single point of contact for data and reporting needs, as well as dedicated support and personal consultation.

Reporting Options for Small Groups
Groups with at least 50 contracts receive Utilization Based Reports that exclude most group financial data designed for groups whose financial data is not used to develop their rates. Many other measures related to demographics, diagnosis prevalence, and utilization are included. In addition, groups with a rewards component to their benefit plan can receive Rewards Scorecards to track monthly participation.

Reporting Options for Large Groups
Claims-based accounts and experience-rated groups with 100+ contracts, along with their brokers of record, are eligible to access Information Connection. Information Connection is a leading edge online reporting environment that includes several components, all designed to help clients evaluate their health care experience, assess benefit options, and identify actionable areas of improvement. Individualized reporting features help manage cost-measures for claimants, track rewards and member participation, diagnose out-of-pocket costs and medical utilization.

All reports can be customized for specific plans or populations within a group, and appear automatically on data load, generally within the first 10 business days of a month.

More Information on Account Reports and Dashboard Data

Monthly Reports – Depending on plan design and funding, several reports are available on a scheduled basis. These reports can be customized for specific plans or populations within a group, and appear automatically on data load, generally within the first 10 business days of a month.

Health Plan Management Report – This approximately 20-page narrative report provides an overview of financial and utilization trends (including demographic and high claimant impact), as well as opportunities related to health management and consumerism.

At a Glance – This one-page table report provides a quick look at prior, current, and comparison data for several key metrics.

High Cost Claimants – This report is often delivered in Excel, and includes most costly diagnosis, total plan cost, and engagement with health management programs (utilization management, case management, and disease management) for all claimants above a specified threshold.

Medical Utilization Report – A comprehensive, table-style report covering many aspects of costs and utilization.

Rewards Scorecard – For groups with a rewards component to their benefit plan, this monthly report tracks several measures of member participation.

Financial Reports – These reports are delivered as Excel spreadsheets, and include a paid incurred triangle report, a claim vs. premium report, and enrollment by contract tier.

Telemedicine Report – Generated monthly to track registrations and key encounter data such as diagnoses and pharmacy detail.

Out of Pocket Report – Summary and detail reporting available to track deductible and out of pocket utilization.

Data Cube – Data cubes are updated monthly, and provide on demand, ad-hoc reporting capabilities. Several pre-built cube views are available addressing costs and enrollment, health management, and consumerism, and new reports can be created using a comprehensive menu of claims information (diagnosis codes, procedure codes, provider specialty, etc.).

This view is updated monthly and shows key cost and utilization metrics for both the group and a broader comparison population. For long term-tracking we also include 24-month trend charts for each measure.

 

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