What reports are accessible within the Health Plan Module of HealthAnalytIQ?

Gain an understanding of what you can review, analyze, and track with the reports in HealthAnalytIQ's Health Plan Module.

Below is a list of the reports, analyses, and groups that can be tracked using the Health Plan Module of HealthAnalytIQ. 

1. Premium Dashboard – This dashboard analyzes the ongoing monthly premiums collected by the health plan(s) in any given plan year, correlates them to the medical, pharmacy, dental and vision claims costs being paid out during the same period of time, and provides 12-month projections of risk and cost increases as well as recommendations for possible premium increases where applicable.
2. Renewals – Geared toward organizations that manage open enrollments, this spreadsheet-style dashboard comes in handy during renewals and provides information on each group such as total medical, Rx and vision costs, total paid premiums, QI costs, MLR, TLR and admin fees. Built-in criteria allow the modeling of group rates, risk bands and other baseline scenarios prior to each renewal.
3. Stop Loss Report – This administrative dashboard utilizes a client-specified deductible amount (such as $500K) and deductible threshold (such as 50%) for a health plan to analyze individuals and groups that have met or exceeded the threshold that triggers individual or aggregate stop loss coverage. Deductible amount and threshold are adjustable on the fly by the user. Details such as family relationship, total claims amount, diagnoses, procedures, and medication cost are displayed for those that meet the criteria.
4. Plan Manager Dashboard – Another administrative dashboard that enables the ongoing monitoring of medical, Rx, dental and vision claims (weekly, monthly, quarterly or semi-annually) at the group level. Includes metrics such as total count enrollees in each plan, coverage status, family relationship, total claims cost, and more.
5. Total Cost – This set of reports provide detailed insights into the medical, pharmacy, dental and vision costs across the health plan(s) as well as drill down to the places of service where the individual members and employer groups receive care and medical services most often.
6. Population Mapping – An interactive mapping application that enables the geographical tracking of disease prevalence by condition, age, gender, provider specialty and more. This application is aimed at leaders responsible for ensuring geo-access across population groups.
7. Employee Map – An offshoot of the Population Mapping application, this interactive map enables plan managers and other decision makers to view employees and dependent information and statistics by ZIP Code Clusters, City, County, etc. on a live map. The map can be overlaid with additional data such as risk scores, claims cost, premiums, utilization metrics, and more.