Population Health
– reports in this area describe trends
in the health and productivity status of the employer population.
The population may be stratified and analyzed by whatever
categories are most meaningful to the employer – i.e.
by disease/condition, by procedure, by provider, by gender,
by age, by location, by active vs. retired, by hourly vs.
salaried, and so on.
Health
Benefits – reports in this area
describe trends in the utilization of health benefits, the
costs associated with them and the accuracy of benefits adjudication
and payment. Utilization and cost patterns are assessed by
plan and product types, benefit packages, demographic groupings,
locations, diseases and conditions, procedure types, and so
on.
Quality
Management – reports in this
area describe trends in the quality of the healthcare services
purchased and delivered under employer benefit plans. Quality
is defined and analyzed both in terms of process and outcome
standards. Report content covers preventive care, chronic
care, and acute/emergent care.