Transforming Healthcare Into
Competitive Advantage
Transforming Healthcare Into,
Competitive Advantage
Transformative Health Care
Risk Management
Kinetiq Health enhances employee benefits strategy with transformative health care risk management services. Through our medical and pharmacy claims surveillance process, our clinicians develop actionable strategies to promote better bottom-line outcomes for organizations and improve their members’ health and well-being. Our unique stratification process allows us to categorize risks and identify intervention opportunities to reduce claims costs—an organization’s largest medical expense.
- Medical Claims Surveillance
- Data-Driven Insights
- Risk Identification
In-House Clinical Strategists
We are powered by professionals who leverage their practical health care experience to actively manage claims today and set new trend lines for your clients’ futures. Registered nurses, a licensed clinical social worker, a registered dietitian, certified wellness coaches and multiple pharmacists utilize their experience and clinical knowledge to identify, assist and intervene with high-cost claims and at-risk claimants.
Active Claims Management
Claims are just one piece of the risk management puzzle. It’s the analysis of the information and who provides the educated insights that create the greatest opportunities to realize cost saving strategies for employee health care. Our actuarial team unifies quantitative and qualitative data sources to provide a holistic view of current-state population health as well as the predictive risk.
Our clinical analysts review claims data monthly, at a minimum, to ensure health care risk trends are identified. We provide monthly dashboard reporting highlighting emerging claims starting at $10,000, creating opportunities to intervene before claims costs escalate. Instead of reacting to high-cost claims months after the expenditures, our process allows your clients to proactively identify and address cost drivers that will impact their plan in the future.
Active Claims Management
Our clinical analysts review claims data monthly, at a minimum, to ensure health care risk trends are identified. We provide monthly dashboard reporting highlighting emerging claims starting at $10,000, creating opportunities to intervene before claims costs escalate. Instead of reacting to high-cost claims months after the expenditures, our process allows your clients to proactively identify and address cost drivers that will impact their plan in the future.
Health Care Cost Management
We use our data to develop multi-year strategies and outline opportunities for cost containment and member intervention. Creative clinical and insurance strategies turn those opportunities into real savings for your bottom line.
| R | Actionable insights provided by clinicians who have practical medical experience |
| R | Disease and clinical management initiatives to impact those at highest risk |
| R | Registered nurses communicating peer-to-peer with insurers’ case management staff to get faster results |
| R | Price negotiation and member plan of care coordination directly with providers and carriers |
HR Benefits Cost Management
We use our data to develop multi-year strategies, outlining opportunities for cost containment and member intervention.
Services and Benefits Include:
| R | Actionable insights provided by clinicians who have practical medical experience |
| R | Disease and clinical management initiatives to impact those at highest risk |
| R | Registered nurses communicating peer-to-peer with insurers’ case management staff to get faster results |
| R | Price negotiation and member plan of care coordination directly with providers and carriers |
Customized Wellness and Mental Health Programs
We engage employees in wellness activities and implement data-driven lifestyle management solutions to reduce plan costs. A Kinetiq Health program manager works with each of your self-funded clients to create and implement customized wellness solutions aimed at improving the health, engagement and productivity of their workforce.
Services and Benefits Include:
| R | Employee health assessments, needs and interest surveys |
| R | Year-round education that empowers employees to make more informed lifestyle decisions |
| R | Custom design and facilitation of programming from one-to-one health coaching to incentive programs |
| R | Reviews of data to continually assess health status and evaluate wellness offerings |
| R | Licensed clinical social worker, mental health counselor and mental health manager training |
Predictive Analytics and Reporting
Our health actuary and health data analysts assess the root causes of claims costs, predict future claims costs based on clinical risk stratification and model the impact of prospective plan alternatives. This ensures health care risk trends are identified with time to intervene—and result in the healthiest renewals possible.
Services and Benefits Include:
| R | Whole health assessments of workforces |
| R | Educated analysis of data so you can make the best benefits decisions for your workforce |
| R | Meaningful reporting that offers clarity and actionable insights |
| R | Strategic plan design options based on years of actuarial, health care and underwriting experience |
Customized Wellness and
Mental Health Programs
We engage employees in wellness activities and implement data-driven lifestyle management solutions to reduce plan costs. A Kinetiq Health program manager works with each of your self-funded clients to create and implement customized wellness solutions aimed at improving the health, engagement and productivity of their workforce.
| R | Employee health assessments, needs and interest surveys |
| R | Year-round education that empowers employees to make more informed lifestyle decisions |
| R | Custom design and facilitation of programming from one-to-one health coaching to incentive programs |
| R | Reviews of data to continually assess health status and evaluate wellness offerings |
| R | Licensed clinical social worker, mental health counselor and mental health manager training |
Predictive Analytics and Reporting
Our health actuary and health data analysts assess the root causes of claims costs, predict future claims costs based on clinical risk stratification and model the impact of prospective plan alternatives. This ensures health care risk trends are identified with time to intervene—and result in the healthiest renewals possible.
| R | Whole health assessments of workforces |
| R | Educated analysis of data so you can make the best benefits decisions for your workforce |
| R | Meaningful reporting that offers clarity and actionable insights |
| R | Strategic plan design options based on years of actuarial, health care and underwriting experience |