SBS’ Population Health Management Capabilities

Definition: Population Health Management (PHM)— the management, integration, and outcome measurement of any program that affects the health and productivity of your organization, i.e. corporate wellness, disease management, catastrophic case management, utilization management, EAP, disability,and/or worker’s compensation programs.

SBS is the leader in procurement, implementation, oversight, and outcome measurement of population health improvement (PHM) programs. Between the leadership of Dr. David Rearick, Vice President of Medical Management and Stephen Cherniak, our Wellness Director, SBS has 50+ years of corporate wellness and medical management experience. SBS is one of the very few benefit consultancies Certified by the Disease Management Purchasing Consortium in Small Group PHM programs insuring you are receiving value from your investment in PHM programs. It is our belief, that improving the health and productivity of your organization is the only long term strategy to effectively control health care costs. The indirect benefits of improved productivity and employee morale, decreasing absenteeism and presenteeism outweigh the reduction in direct medical costs-especially for the employer with less than 10,000 employees. Measuring this value is critical and SBS has a proprietary Value on Investment (VOI) methodology created in conjunction with the Milliman actuarial firm and Al Lewis, President of the Disease Management Purchasing Consortium. Many of our outcome measurements are based on the work of Dee Edington, PhD, Director of the University of Michigan’s Health Management Research Center.

Our Population Health Management (PHM) capabilities include:

• Risk Factor Identification using health assessments (subjective) and claim (objective) data.
• Intelligent benefit design based on your data focused to improve health and productivity.
• The ability to do oversight on all vendors, measure their performance, and meet contract performance guarantees.
• Integrate your overall health improvement goals into payroll and benefit design to better motivate and reward employees for making the right life-style choices and reward improvements in health status.  
• A three year strategic health and benefit plan strategy that proactively helps you manage rising benefit costs building employee personal responsibility into the health benefit area.
• Population Health Management RFP creation with quality of care guidelines and performance measures negotiated into the contract.
• Predictive modeling of your medical/Rx claims to identify your real cost drivers and individuals needing medical management (available only for self-funded clients).
• Tracking by quarter medical and Rx costs by disease, service provider, service category and procedure
• Identification of members that should be in disease/case management
• Identification of over 100 quality of care gaps in your membership
• Benchmarking medical/Rx costs and utilization statistics
• An annual PHM scorecard  that measures outcomes for,
• Utilization performance measurements
• Quality of Care performance indicators
• Financial performance measurements
• The ability to integrate all data elements affected by health status, providing you a comprehensive outcome measurement and management strategy for wellness, disease management, disability, absence management, EAP activity, and worker’s compensation claims.
• Developing and overseeing an annual corporate health improvement program with incentives.
• Individual programs to fit your organization’s size, budgets and needs:
• A WellFit Starter wellness module for the small fully insured employer with little to no PHM budget and limited internal resources
• An Intermediate WellFit wellness module for the larger fully insured employer with an HR department, a PHM budget, wishing to measure the value of their investment in health improvement programs
• An Advanced WellFit PHM module for the larger self-funded client who is committed to investing in a measurable health improvement strategy, predictive medical/Rx claim analysis, integration of wellness activities with other PHM programs (i.e. disease management, case management, EAP, disability and worker’s compensation programs).

Strategic Benefit Solution’s PHM expertise helps you manage the 85% of your health care dollar spent on care delivery. If you are self-funded, this is a risk you need to manage. If you are fully insured, managing this area will result in lower premiums. Both self-funded and fully insured client benefit from a healthier workforce in improved productivity, better morale, and decreased absenteeism and presenteeism. Good Health is Good Business.

SBS Current Wellness Program

Every year we practice what we preach, good health is good business!  SBS recently held our annual wellness awards banquet and introduced next year's wellness program. E-mail us to view our new program. See pictures from our rewards ceremony. Celebrate Success!

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