How
Are We Doing?
Measuring our successes
BHCG announces 2008 savings results
In 2008 the
BHCG continued its steady progress of moving health care costs toward
the Midwest average. Highlights of BHCG’s 2008 results include:
- BHCG costs in aggregate were 9.5% higher than the Midwest average
in 2008 compared to 13% higher in 2007.*
- In 2008 medical costs per member
per month (prior to benefit application) for self-funded groups rose
7.9%, which beat the trend for the region by approximately 2.0%.
- Self-funded
groups involved in the BHCG from the onset (since 2006) saw their costs
rise only 5.8% in 2008.
- For the three-year period 2006-2008, costs for
self-funded groups still remain less than the base year of 2005 by
0.5%.
- Fully insured groups utilizing the Humana Preferred network saw approximately
a 14-18% premium savings compared to groups using Humana’s broader
networks.
- When taking into account southeast Wisconsin medical cost trend,
the program has produced savings totaling an estimated $172 million
for 2006-2008 for self-funded groups.
*Midwest comparison analysis based
on Mercer data
BHCG sees substantial membership gains
As of
the end of June 2009, the BHCG has almost 1,000 employer members representing
more than 98,000 employees and dependents. Compared to membership as
of December 31, 2008, the BHCG has seen a gain of 38% in the number of
participating employers and a 20% gain in the number of employees and
dependents participating in the Humana Preferred (BHCG) network.
Member
registration with MyHumana.com improves
Member registration
at myHumana.com rose from 37% in 2007 to 41% as of December 31 2008 for
self-funded companies and from 28% to 32% for fully insured companies
for the same timeframe.
Claims audit reveals Humana exceeds performance
guarantees and industry standards
The BHCG and Humana recently
engaged Towers Perrin to conduct an audit of Humana’s claims processing
performance. The audit, performed in January 2009, revealed that Humana
exceeded performance guarantees in the BHCG – Humana contract and
industry standards in virtually all key performance measurement categories.
Return to The Catalyst |