Asset 1 Asset 1 Asset 1 Asset 1 Asset 1 Asset 1 Asset 1 Asset 1 Asset 1
mobile-ornament mobile-ornament mobile-ornament mobile-ornament mobile-ornament mobile-ornament mobile-ornament mobile-ornament mobile-ornament
Asset 2 Asset 2 Asset 2 Asset 2 Asset 2 Asset 2 Asset 2 Asset 2 Asset 2
Asset 3 Asset 3 Asset 3 Asset 3 Asset 3 Asset 3 Asset 3 Asset 3 Asset 3

Neil Godbey is President/CEO of The Godbey Group and Chairman/CEO of Advanced Plan for Health (APH). Neil’s management background includes urgent care and occupational medicine clinics, mobile diagnostics, hospital and nursing home management, start-up managed care organizations, IPAs, HMOs, and hospital strategic mergers, acquisitions, and development.

Furthermore, Neil has negotiated the sale or purchase of over 75 health care companies, including health plans, tertiary care centers, physician group practices, and other health care companies. All in all, it is safe to say that Mr. Godbey is one of the industry’s best versed experts in population health management and data analytics. In fact, his expertise and commitment helped streamline the creation of the most advanced data risk engine available to help improve population health in general.  

Drawing from this experience, Mr. Godbey recently published a pair of bylined articles full of health management insights and advice. Below are a few highlights from those articles.  

Published in Employee Benefit Advisor on July 1, 2016, Neil’s byline, “Views: The Key to Retaining Self-Funded Clients,” states:

For brokers and consultants to retain self-funded employers as customers, they need to provide them with a clear view of their plan as well as steps to improve performance.

Later, Neil provides a few examples:

Looking at claims data and comparing costs to national benchmarks — adjusted for regional cost variation — can uncover hotspots where an employer may have opportunities to address with better policies that address patients’ needs.

Data trends should be keyed to per-member, per month cost to level-set the field, account for fluctuation in employee levels and the resulting change in the number of covered families. This will help determine if a few high-cost patients skewed one particular year, which in turn influences stop-loss and reinsurance decisions


In another byline published in Employee Benefit News on June 28, 2016, “Views: New Workforce Health Analytics Tools Zero in on Unnecessary Health Costs,” Neil explains that:

5% of an organization’s employees can account for 50% or more of an employer’s healthcare expense.

And that…

With the right analytics system, you don’t have to be a data scientist to…improve your health claims outlay….

Benefits managers should leverage [predictive modeling engines] to identify and address common patterns of behavior that significantly increase medical costs.

These might include:

· Creating more granular medication lists. Are employees using non-formulary, compounded or specialty drugs when a cost-saving generic would have the same result? Custom reports catalog unique behaviors such as pa­tients using multiple pharmacies.

· Reining in multiple specialists/multiple PCP scenarios. Some patients may use multiple specialists and multiple primary care docs. Coordinating care under a single PCP can reduce costs.

· Generating next-generation ER utilization reports. Encouraging patients to use urgent care—and avoid the ER copay—can boost a health plan’s bottom line. But you have to know more about ER utilization than you do now to learn when they’re being used inappropriately and predict when it might happen next.

· Improving chronic care. Wellness programs, preventive medicine and case managers all can help at risk popula­tions take better care of themselves and avoid ER visits. But you will have to track the results.

The advice that Mr. Godbey provides in these articles is well-founded, actionable and based on years of experience and success in evidence-based solutions. If you would like to learn more, please visit www.mypoindexter.com or click here to request an Opportunity Assessment, and you will receive advice specific to your unique population and needs.

Share

More Articles

  1. Wall Street Journal Webinar Review: The Future of Health

    The Wall Street Journal (WSJ) recently provided its audience with a wide-ranging webinar discussion that covered the nation’s ability to address unprecedented Covid19 challenges like proper testing and tracking, social distancing limitations, and a dangerous societal decline in mental health. The WSJ…

    Read More »
  2. The 2020 American Drug Shortage

    In the soon to be 244 years of Independence, the United States of America has been tested beyond measure on countless occasions, and each time Americans have risen to the occasion. Now, America is facing a monumental challenge yet again in a…

    Read More »
  3. The Importance of Identifying and Supporting Newly Diagnosed Individuals

    For proactive education and support, it has been proven effective to reach out to individuals newly diagnosed with chronic conditions in a timely manner. It’s important to ensure they understand their diagnosis, and what their responsibilities are in light of the new…

    Read More »
  4. Three of the Costliest Health Conditions Ravaging Your Health Plan, and Steps for Prevention

    Within the population health community, it is well known that a small percentage of health plan members with chronic conditions are typically responsible for the lion’s share of plan costs. This portion of the employee population is often referred to as the…

    Read More »
  5. Session 5: A Look at PwC Health Research Institute’s 2020 Medical Cost Trend Report

    Medical Cost Trend: Behind the numbers 2020 by PwC Health Research Institute (HRI) Condensed and presented by Advanced Plan for Health The Advanced Plan for Health team regularly scans the health market for trends, analysis and insight. In our research, we found The…

    Read More »

Looking
for more?

Check out our Resource Center for
infographics, white papers, and more.

GO THERE

Seen
enough?

We’re ready to get started! Contact us to see
what APH can do for you and your business.

CONTACT US