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Data Discussion with
Friedkin Companies
Presented by
Friedkin Companies, DHS Group
HBCH Data Platform Program
Nov. 1, 2017
Intro
Ted Barrall, Friedkin Companies, Director, Compensation and Benefits
Will Herold, DHS Group, VP of Employer Solutions
Agenda
- Friedkin Companies’ perspective on cost of healthcare
- A focus on preventive care
- Role of data analytics
- Outcome focused reporting
- Q&A
Confidential | 4
About DHS Group
Since 1997, DHS Group’s foundation, mission and purpose have been underpinned by one
prevailing goal – elevating population health. Our experience runs deep in assisting health plans
with HEDIS® Reporting, Medicaid, Medicare Part C & D and Exchange Auditing.
DHS Group works with companies and health plans to achieve better health outcomes and cost
savings using an advanced data warehouse, population health science and member engagement
tools.
Employer Solutions
HealthSpective Suite
Population Health Consulting
HIPAA Privacy Training
Health Plan Solutions
HEDIS Regulatory Reporting
Medicare Part C & D Audits
HEDIS Proactive Reporting
Population Health Consulting
The Friedkin Group
• 2,700 Employees
• Majority in greater Houston Area
• Auto-industry related companies
- Gulf States Toyota
- US Auto Logistics
- Lexus Dealerships
- Gulf States Financial Services
- Gulf States Marketing
Focus on Preventive Care
Design and Criteria
• Annual Incentive - $900
• Employee and Spouse complete annual well adult or well woman exam
• Verified by claims feed or EOB from employee
• 3 months grace period each year
Engagement
• Messaging
• Awareness and Reminders
• Customization
Role of Data Analytics
• How are we going to measure this initiative? The integration of health and wellness data to measure participation, trends and health status over the years
• Difference with carrier reports
• What else is going on in our population? What are our other opportunities for population health improvement and cost avoidance?
Participation Demographics
0%
10%
20%
30%
40%
50%
60%
70%
80%
2013 2014 2015 2016
Participation by Gender
Female Participation rate Male Participation Rate
20
25
30
35
40
45
50
55
60
Participants Non Participants
Average Age
Participation by Job Level
Year: 2016
Participation by Health Distribution
0% 5% 10% 15% 20% 25% 30% 35% 40%
High
Critical
Moderate
Healthy
Insufficient Data
Health Status by Participation
% Wellness Participants % Wellness Non Participants
*Insufficient data is noted on members who have been on the plan less than 6 months.
• Over 85% of non participants
incurred no medical claims at all in
2016, therefore, health status on
those individuals may look better
than what it is.
Year: 2016
Participation by Cost per Member
$-
$1,000
$2,000
$3,000
$4,000
$5,000
2012 2013 2014 2015 2016
Participation by Cost per Member per Year
Part MED Part RX Non Part MED Non Part RX
Pa
id P
MP
Y
Part: Participants, Non Part: Non Participants
High Cost Claimants over $50k
0%
1%
2%
3%
4%
5%
6%
2012 2013 2014 2015 2016
High Cost Claimant Rate >$50,000 per Member
Wellness Participants Wellness Non-Participants
*2012 reflects pre-wellness program inception
% o
f M
em
bers
0
50
100
150
200
250
300
350
2012* 2013 2014 2015 2016
ER Visits
Participants' ER Visits per 1000 Non-Participants' ER Visits per 1000
Utilization of Resources
*2012 reflects pre-wellness program inception
0
20
40
60
80
100
120
2012* 2013 2014 2015 2016
Hospital Admissions
Participants' Admits per 1000 Non-Participants' Admits per 1000
0
100
200
300
400
500
600
700
2012* 2013 2014 2015 2016
Inpatient Days
Participants' IP days per 1000 Non-Participants' IP days per 1000
Compliance with Preventive Care
0%
5%
10%
15%
20%
25%
30%
35%
40%
Wellness Participants Wellness Non-Participants
Untreated Hypertension
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Wellness Participants Wellness Non-Participants
Breast Cancer Screening
0%
10%
20%
30%
40%
50%
60%
70%
Wellness Participants Wellness Non-Participants
Colorectal Cancer Screening
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Wellness Participants Wellness Non-Participants
Cervical Cancer Screening
Year: 2016
Other areas of focus
Strategic reporting uncovering areas for improvement impacting various outcomes
Cost Avoidance - Avoidable ER VisitsPaid Amount % Overall ED visits
Avoidable ED Visit Category 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Emergent-Preventable $75,300 $121,873 $101,503 $76,422 $55,077 3.3% 4.0% 4.5% 2.8% 2.9%
Emergent-Preventable Dental Disorders $6,470 $6,177 $9,199 $1,687 $2,663 1.1% 0.9% 0.4% 0.6% 0.6%
Emergent-Preventable Mental Illness $48,058 $100,289 $62,025 $85,858 $43,944 2.3% 2.5% 2.5% 2.9% 2.9%
Emergent-Primary Care Treatable $482,135 $533,250 $529,163 $456,098 $200,867 20.4% 20.7% 20.5% 19.2% 15.2%
Non-Emergent $281,716 $421,299 $295,353 $365,168 $216,595 21.5% 21.0% 20.3% 21.5% 19.4%
Grand Total $893,679 $1,182,887 $997,244 $985,231 $519,147 48.5% 49.1% 48.3% 47.0% 41.0%
Q&A
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