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Quantum Health宣布2023年新医疗导航成本节约影响分析结果

Quantum Health Announces Results of New 2023 Healthcare Navigation Cost-Savings Impact Analysis

businesswire 等信源发布 2023-11-02 19:30

可切换为仅中文


DUBLIN, Ohio--(BUSINESS WIRE)--Quantum Health, the leading consumer healthcare navigation and care coordination company, today announced the results from its most recent actuarial study measuring the cost-savings ROI for its entire client base using its navigation platform. The five-year study (2018-2022), which was conducted and verified through an independent actuarial analysis, indicated that utilizing Quantum Health’s navigation and care coordination platform generated a market-leading 3.3 to 1 ROI in year one and a 5.3 to 1 ROI after three years for employer clients leveraging the company’s offering for its employee population..

俄亥俄州都柏林-(BUSINESS WIRE)-领先的消费者医疗保健导航和护理协调公司Quantum Health今天宣布了其最新精算研究的结果,该研究使用其导航平台测量其整个客户群的成本节约ROI。通过独立精算分析进行并验证的五年研究(2018-2022)表明,利用Quantum Health的导航和护理协调平台,在第一年产生了市场领先的3.3至1个投资回报率,并在三年后产生了5.3至1个投资回报率雇主客户利用公司为其雇员群体提供的服务多年。。

In this first market study of its kind, Quantum Health introduced a new methodology that aligns to its client ROI evaluation by leveraging client-specific claims projections, as well as incremental administrative fees analysis. This research enhancement accounts for cost impacts at a client-specific level, including COVID-19 effects, plan design changes and network changes.

在第一次同类市场研究中,Quantum Health引入了一种新方法,通过利用客户特定的索赔预测以及增量管理费用分析,与其客户ROI评估相一致。此研究增强可解决客户特定级别的成本影响,包括COVID-19效应,计划设计变更和网络变更。

Edward M. Pudlowski, founder and president of MorningStar Actuarial Consulting, conducted the analysis and subsequent report. Mr. Pudlowski has over 40 years of experience conducting analyses of healthcare claims for Fortune 500 corporations, unions, health plans and innovative healthcare solutions and most recently served as president of the Conference of Consulting Actuaries (CCA)..

MorningStar精算咨询创始人兼总裁Edward M.Pudlowski进行了分析和后续报告。Pudlowski先生拥有40多年的经验,为“财富”500强公司,工会,健康计划和创新医疗解决方案提供医疗保健索赔分析,最近还担任咨询精算师会议主席。。

“Self-insured employers are attempting to negotiate an increasingly complex healthcare benefits landscape during a period of global insecurity and while managing through inflation, escalating costs and digital health point solution fatigue – at the same time keeping their employees healthy and happy with benefits tailored to their personal health journeys,” said Scott Doolittle, chief financial officer for Quantum Health.

斯科特·杜利特尔(Scott Doolittle)说:“自保雇主正在尝试在全球不安全时期谈判日益复杂的医疗保健福利格局,同时通过通货膨胀,成本上涨和数字健康点解决方案疲劳进行管理,同时保持员工健康并对自己的个人健康之旅感到满意。”,Quantum Health首席财务官。

“Quantum Health’s newly published results not only verify the direct impact our navigation platform makes in significantly affecting claims cost reduction year after year, they’ve been analyzed against client-specific criteria, including plan design and COVID-19 impact. While other navigation solutions can provide case study comparisons that focus on one or two clients, only Quantum Health reports this level of claims savings and ROI impact across the full breadth of client business and eligible populations.”.

“Quantum Health新发布的结果不仅验证了我们的导航平台对逐年显着影响索赔成本降低的直接影响,还根据客户特定标准(包括计划设计和COVID-19 impact)进行了分析。其他导航解决方案可以提供专注于一个或两个客户的案例研究比较,只有Quantum Health报告在客户业务和符合条件的人群中的这种索赔储蓄水平和ROI影响“。

The methodology considered multiple years of a client’s historical claims experience, client-specific pooling points, client-specific claims trends, as well as adjustments for anything outside Quantum Health’s purview that could impact claims. For each client’s claims experience, Quantum Health and the client’s consultant develop an annual claims projection that represents the claims costs expected in the absence of Quantum Health’s services.

该方法考虑了客户多年的历史索赔经验,特定于客户的汇集点,特定于客户的索赔趋势,以及可能影响索赔的Quantum Health职权范围之外的任何调整。对于每个客户的索赔经验,Quantum Health和客户顾问制定年度索赔预测,代表在没有Quantum Health服务的情况下预期的索赔成本。

The client reporting methodology and projections follow industry-accepted forecasting methodology. In previous studies, a more general approach was used comparing Quantum Health clients with broad industry benchmarks. This new approach compares client actual claims with their claim projections created in partnership with leading consultancies..

客户报告方法和预测遵循行业接受的预测方法。在以前的研究中,使用更一般的方法将Quantum Health客户与广泛的行业基准进行比较。这种新方法将客户的实际索赔与他们与领先咨询公司合作创建的索赔预测进行比较。。

“This new study from Quantum Health demonstrates that its consumer healthcare navigation platform delivers significant ROI and sustained year-over-year savings for employer-sponsored benefits programs. Ensuring an ROI scale across populations is critical for employers as they increasingly focus on cost control, sources-of-savings analysis and the factors that drive cost trend like unit cost, utilization and mix of services.

“Quantum Health公司的这项新研究表明,其消费者医疗保健导航平台为雇主赞助的福利计划提供了显着的投资回报率和持续的逐年储蓄。确保跨人群的投资回报率对于雇主来说至关重要,因为他们越来越关注成本控制,储蓄来源分析以及驱动成本趋势的因素,如单位成本,utilization和混合服务。

Quantum Health has consistently demonstrated the ability to positively influence these factors along with enhancing members’ overall healthcare experience,” said Mr. Pudlowski..

Pudlowski先生说,Quantum Health一直表现出积极影响这些因素的能力,同时增强了成员的整体医疗体验。。

Among the key findings, the data analysis shows are that companies using Quantum Health’s consumer healthcare navigation realized significant and sustained cost savings across all group sizes.

在主要研究结果中,数据分析显示,使用Quantum Health的消费者医疗保健导航的公司在所有组别中实现了显着和持续的成本节约。

The actuarial study measured the cost-savings ROI for the entire client base using the navigation platform, with and without administrative fees considered.

精算研究使用导航平台测量了整个客户群的成本节约ROI,并考虑了和不考虑管理费用。

ROI Calculation

投资回报率计算

Durational Year

持续一年

Year 1

第一年

Year 3

第三年

Year 5

第5年

(Claims Savings + Admin Fee Reduction)/Quantum Health Fee

(索赔节省+行政费用减少)/量子健康费用

3.3

3.3

5.3

5.3

8.9

8.9

Claims Savings/Quantum Health Fee

索赔储蓄/量子健康费

2.8

2.8

4.8

4.8

8.4

8.4

Claims Reduction

减少索赔

Durational Year

持续一年

Year 1

第一年

Year 3

第三年

Year 5

第5年

Cumulative Claims Savings

累计索赔储蓄

5.9%

5.9%

9.7%

9.7%

14.7%

14.7%

Average annual incremental savings of 2.2%

平均每年增量节省2.2%

To obtain a copy of the full report and methodology visit here.

要获得完整报告和方法的副本,请访问此处。

About Quantum Health

关于量子健康

Quantum Health is the industry-leading consumer healthcare navigation and care coordination company that delivers an unparalleled consumer experience to its members, as well as validated claims savings and high satisfaction rates for its self-insured employer clients. Quantum Health’s proprietary Real-Time Intercept® model identifies opportunities for early intervention in a member’s healthcare journey, resulting in better engagement, outcomes and cost efficiencies..

Quantum Health是业界领先的消费者医疗保健导航和护理协调公司,为其成员提供无与伦比的消费者体验,并为其自保雇主客户提供有效的索赔储蓄和高满意率。Quantum Health专有的RealTime Intercept®模型可为会员的医疗保健旅程提供早期干预的机会,从而实现更好的参与度,成果和成本效益。。

The company was founded in 1999 and is based in Dublin, Ohio. Since its inception, Quantum Health has earned numerous awards and honors, including being named among the Fastest-Growing Private Companies by Inc. 5000, a Great Place to Work by FORTUNE Magazine and Entrepreneur Magazine, and one of FORTUNE’S Best Workplaces in Healthcare.

该公司成立于1999年,总部设在俄亥俄州都柏林。自成立以来,Quantum Health获得了众多奖项和荣誉,其中包括被Inc.5000评为增长最快的私营公司之一,“财富”杂志和企业家杂志以及“财富”医疗保健最佳工作场所之一。

The Women Presidents’ Organization has also ranked Quantum Health as one of the 50 Fastest-Growing Women-Owned/Led Companies for over 15 years..

15年来,女性总裁组织还将Quantum Health评为增长最快的50家女性拥有/领导公司之一。。

To learn more about the company, visit Quantum-Health.com, and connect with us on LinkedIn and Twitter.

要了解有关公司的更多信息,请访问Quantum-Health.com,并在LinkedIn和Twitter上与我们联系。