Bending the Healthcare Cost Curve with Primary Care: A Conversation with Jeffrey Hogan, Upside Health Advisors

In Healthcare Costs: Bending the Curve Through Primary Care — part of our How Health Happens series — Jeffrey Hogan, President of Upside Health Advisors, joined Premise Health’s Derek Brochu, executive vice president of growth & development, to discuss the challenges CFOs and their benefits teams are facing, including rising costs, new legal realities, and increased fiduciary duty. Watch the recap to catch the full conversation!

Three Points to Consider

CFOs and benefit managers are addressing changes brought on by a shifting healthcare and legal landscape. To best navigate these changes, here are three points discussed in the webinar that are worth deeper thought.

Healthcare costs are no longer just a benefits issue

The sustained rise in healthcare spending has made healthcare costs an organizational issue. As a result, more and more CFOs are becoming involved in healthcare benefits decisions. Designing a solution that addresses costs and begins to drive savings requires effective teamwork across organizational leadership.

Meanwhile, increased fiduciary responsibility now that the Consolidated Appropriations Act, passed in 2021, has come into effect means CFOs need to be informed and aware of healthcare benefits to ensure regulations are met. Organizations need to ensure that their healthcare spending is benefiting their population, which involves greater transparency and data analysis than it did previously. Since many CFOs operate as their organizations’ named fiduciary, they need to be involved at every step.

Data is important as the Consolidated Appropriations Act demands transparency of spending and outcomes

The Consolidated Appropriations Act requires employers to ensure health benefits are designed in the best interests of their employees and dependents, providing quality coverage at a reasonable cost. The best way to show cost and quality in real terms in healthcare is through claims data analysis.

Organizations now need to know how to analyze this data and what to do with the results to best meet their legal responsibilities, while protecting privacy for employees. Many will turn to healthcare partners — health plans, direct healthcare companies, and more — to help them securely process and analyze this information.

Claims data can bring further rewards to organizations who put it to use

Claims data provides the most accurate insights into the real state of healthcare for your population, including information on care received, medications prescribed and filled, and more. This data tells you the exact care needed by your employees and their families, allowing you to build a health benefits strategy that connects your people with highly relevant, high-quality care where and when they need it.

Premise partners with large organizations like you to provide high-quality relevant care to your population. Our teams can help you gather, analyze, and interpret healthcare data — including claims data. We’re a key partner for you as you attempt to flatten the healthcare spending curve and gain insights into your healthcare spending and results.

Learn we can help you navigate the healthcare landscape.