HR Solutions
Health Management
To help employers strike an optimal balance, EPIC offers expertise in designing, funding, pricing, implementing and managing the full array of health and welfare programs. This capability encompasses health care strategies for active employees and retirees, as well as disability, dental, life insurance, behavioral health, pharmacy and flexible benefits.
Employers’ top challenges in maintaining affordable benefit coverage.
- Employee’s poor health habits
- High-cost catastrophic cases and end-of-life care
- Underuse of preventative services
- Poor employee understanding of how to use the plan
- Overuse of care through employees seeking inappropriate care
Biggest obstacles to changing employee behavior related to health
- Lack of employee engagement
- Lack of sufficient financial incentives to encourage participation in programs
- Lack of adequate budget to support effective health management programs
- Too many other demands on employees
- Lack of evidence about which practices work
- Lack of appropriate tools to be successful
- Lack of actionable data
EPIC will develop unique customized solutions for your organization:
- Identify disease prevalence and costs
- Determine where opportunities exist and appropriate intervention levels
- Develop strategy for plan design, education and employee communications
- Reduce health care and disability costs – as well as indirect plan costs related to productivity, presenteeism and absenteeism
- Perform cost/benefit analysis for incentives
- Program strategy, design and pricing
- Vendor evaluation, selection and monitoring
- Employee education and research
- Funding strategies
- Legal compliance
- Evaluate potential return on investment
- Identify/select vendors based on employer needs and objectives
- Negotiate contract and performance guarantees
- Assist with program implementation and employee communications
- Provide ongoing oversight of vendor performance and program outcomes
- Integrating data to determine appropriate treatment plans for chronic conditions
- Encouraging members to comply with appropriate preventive care guidelines
- Assisting employees in understanding and maximizing their benefit plan
- Changing member behavior to drive more efficient use of health care services
- Changing member behavior related to making healthy lifestyle decisions
