Navigating the World of High-Cost Healthcare: Effective Strategies and Insights

02/04/24 • 19 min

Healthcare on the Rocks - Employee Benefits with a Twist

Dive into the world of high-cost claimants trends with Janet Young, MD, Clinical Analytics Advisor at Springbuk and one of the authors of the 2024 Employee Health Trends report. The report sheds light on managing those hefty healthcare expenses. Janet describes the journey through the world of healthcare economics, beginning with a breakdown of high-cost claimants into distinct segments, then explaining how those groups differ in their influence on overall healthcare spending. The conversation then turns to the diverse health conditions within these categories, underlining the critical need to grasp these differences for crafting impactful management strategies.

You'll hear about innovative approaches like encouraging regular cancer screenings and leveraging Centers of Excellence for top-notch care and advice, particularly vital in the priciest categories dominated by facility expenses.

What You Will Learn:

The segmentation of high-cost claimants in healthcare and their impact on total spending
The importance of understanding the variation in health conditions across different cost categories
Strategies for managing high-cost claims, including early cancer screenings and leveraging Centers of Excellence

Catch the full conversation.

Connect with Janet Young on LinkedIn
Get the complete 2024 Employee Health Trends report and other related resources
Connect with our co-hosts Jennifer Jones and David Pittman

Subscribe so you don’t miss an episode: Apple Podcasts, Spotify, and other popular podcast players.

Have feedback, questions, or suggestions for show ideas? Send them to us at [email protected].

Please rate and review us on your favorite podcast platform, and share it with your friends and colleagues. We appreciate you and thank you for listening!

Theme music: "Overboard" by Stay Outside

What You Will Learn:

The segmentation of high-cost claimants in healthcare and their impact on total spending
The importance of understanding the variation in health conditions across different cost categories
Strategies for managing high-cost claims, including early cancer screenings and leveraging Centers of Excellence

Catch the full conversation.

Connect with Janet Young on LinkedIn
Get the complete 2024 Employee Health Trends report and other related resources
Connect with our co-hosts Jennifer Jones and David Pittman

Subscribe so you don’t miss an episode: Apple Podcasts, Spotify, and other popular podcast players.

Have feedback, questions, or suggestions for show ideas? Send them to us at [email protected].

Please rate and review us on your favorite podcast platform, and share it with your friends and colleagues. We appreciate you and thank you for listening!

Theme music: "Overboard" by Stay Outside

Previous Episode

Beam Benefits: Building a Digitally Native Future for Employee Health

In this engaging and informative podcast, hosts Mike Pattengale and Jennifer Jones chat with Alex Frommeyer, the co-founder and CEO of Beam Benefits. Alex shares his journey from being an engineer to founding Beam, a digitally native employee benefits company that's transforming dental insurance and more.

Key takeaways:

Digitally Native Benefits: Beam's success lies in being a native digital company, leveraging AI-powered underwriting and a wellness program to offer flexible and innovative benefits for small and medium-sized businesses. This digital approach differentiates Beam from traditional insurers and creates a memorable experience for employees.
Dental Wellness Program: Beam's unique dental wellness program gamifies dental care, allowing users to accumulate points by brushing their teeth with the connected Beam toothbrush. These points can be redeemed for various products and gift cards, promoting better dental health while engaging users passively.
The Future of Employee Benefits: Alex envisions a more integrated and comprehensive approach to employee benefits, where data-driven solutions unify various health-related coverages and experiences. He believes tech and entrepreneurial innovation will be the driving force behind this future.

The next time you brush your teeth, remember that you can make dental health more fun and rewarding with Beam!
Catch the full conversation.

Connect with Alex Frommeyer on LinkedIn
Visit Beam Benefits' website
Connect with our co-hosts Jennifer Jones and Mike Pattengale

Subscribe so you don’t miss an episode: Apple Podcasts, Spotify, and other popular podcast players.

Have feedback, questions, or suggestions for show ideas? Send them to us at [email protected].

Please rate and review us on your favorite podcast platform, and share it with your friends and colleagues. We appreciate you and thank you for listening!

Theme music: "Overboard" by Stay Outside

Next Episode

Balancing the Scale: Obesity, Rx Costs, and Healthcare

Dive into an episode that's all about the big issues hitting our health and wallets: skyrocketing prescription costs and the obesity epidemic. Two co-authors of the 2024 Employee Health Trends report from Springbuk take you through the ins and outs of how these challenges are reshaping the landscape of employer healthcare spending and what it means for all of us.
Janet Young, MD, Clinical Analytics Advisor at Springbuk, and co-host Jennifer Jones, Population Health Practice Leader, explore the tangled web of drug pricing, unravel why your medicine costs keep going up, and discuss steps employers can take to reduce costs. Plus, we're not shying away from the weighty issue of obesity. Jennifer takes a deep dive into how it's impacting healthcare costs in ways you might not expect.

This episode is a must-listen for anyone involved in employee health benefits, offering actionable strategies and a comprehensive understanding of the current landscape.
What You Will Learn:

The significant role of prescription drug pricing in increasing employer healthcare costs, with a particular focus on brand name and specialty drugs.
Insights into the obesity epidemic and its direct and indirect impacts on healthcare spending and employee well-being.
Strategies for employers to manage rising healthcare costs, including the adoption of generics, biosimilars, and comprehensive health programs.
The importance of a data-driven approach to health benefits planning, leveraging insights from healthcare analytics to inform strategies.
Emerging treatments and approaches for managing obesity, highlighting the role of GLP-1 agonists and the need for multifaceted treatment strategies.

Stay in Touch!

Connect with Janet Young on LinkedIn
Get the complete 2024 Employee Health Trends report and other related resources
Connect with our co-hosts Jennifer Jones and David Pittman

Have feedback, questions, or suggestions for show ideas? Send them to us at [email protected].

Please rate and review us on your favorite podcast platform, and share it with your friends and colleagues. We appreciate you and thank you for listening!

Theme music: "Overboard" by Stay Outside

Healthcare on the Rocks - Employee Benefits with a Twist - Navigating the World of High-Cost Healthcare: Effective Strategies and Insights

Transcript

jen-jones_1_01-30-2024_11082400:00:03.005

Welcome back to Healthcare on the Rocks: Employee Benefits with a Twist. I'm Jennifer Jones, Vice President of Strategic Partnerships and Population Health Practice leader at Springbuk. Some changes since our last episode, including a new voice that you'll hear in just a moment. But we're excited to be back and looking forward to bringing you a jam-packed season with incredible guests.

david-pittman_1_01-30-2024_1108