Group Benefits – Medical Claims Analytics

Our medical claims analytics allows you to rapidly integrate eligibility information, medical claims, pharmacy claims, health risk assessment results and case management data.

The Bailey Group can help you make educated and cost saving benefit plan decisions with PlanAdvisor.

Using this comprehensive tool, we can analyze and benchmark your claims data, model potential plan designs, estimate renewal costs and enhance employee decision-making – all designed to provide you with a cost-effective benefits plan tailored to your unique business and employee population.

Our medical claims analytics report allows you to rapidly integrate eligibility information, medical claims, pharmacy claims, health risk assessment results and case management data to help you:

  • Identify high-risk individuals
  • Reveal case management or disease management opportunities
  • Measure ROI of wellness and disease management activities
  • Improve plan and benefit design
  • Develop long-term health care strategy to address needs of total employee population



Medical Claims Analytics sample analysis

How do I stack up?

We’ll help you benchmark your cost and utilization data against nationally recognized norms, and provide access to thousands of survey results to see how you compare to others in your field.

What’s my best option?

Extend the cost-savings to your employees by taking the guesswork out of open enrollment – your employees can input their expected health care needs and discover the most cost-effective plan for them.

What’s the impact?

Balance cost efficiency with maintaining value in your plan – we can offer plan design modeling to show you the impact of a change before making any decisions.

What are my future costs?

To support your budgeting needs, we can calculate your projected plan renewal costs based on trend, midpoint and large claim information.

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