VBBD Analysis

1. VBBD Analysis The Client A commercial plan with over 2 million members, wanted to retain and up-sell services to its large pension and state clients;the largest client requested new strategies to control the trend in 2-3 years. • Results • The health plan’s client impressed by the actionable plan SCIO created and engaged the health plan to provide the services described • Client Challenges • Needed to identify how a new value-based benefit design consisting of incentives and cost-sharing could impact population health and produce savings for a large client • Needed to create actionable results to drive change over the next plan year • Needed to provide detailed analysis to support the decision process • SCIO™’s Solutions • Developed an integrated data warehouse containing 3 years of membership, coverage, medical claims, pharmacy claims and care management activity • Delivered series of actionable recommendations and reports using the SCIO™ VBBD consumer behavior predictive model • Provided drill-down analyses to understand the populations utilizing high and low value services • Delivered the VBBD module for additional ad hoc analysis and reporting • Business Value • Delivered plan design recommendations for 2013 and 2014 for the large client Analytics Model Engagement Model Technology/Platform • Staff Resourcing • Proprietary/IP Solution • <<Text>> • VBBD Analytics • SCIOVantage™ Analytic Platform • Program Recommendations