MANAGING MEDICAL COSTS

Question 1

WHY IS MEDICAL MANAGEMENT IMPORTANT?

Answer 1

Almost everything in claims is impacted by the management of medical costs. It’s not just WC, but Auto, GL. Any line of coverage where there is a medical component (i.e bodily injury) is impacted.

Question 2

What do we emphasize when it comes to Medical Management?

Answer 2

Active Management versus Passive Paying. We treat your dollars the same as we treat yours. We have to protect our bottom line just as you do.

Question 3

How much do we spend on Medical Costs?

Answer 3

$1.6 Billion (with a B!)

That equates to 40% of our total spend across WC, AUTO & GL.

Question 4

Why is medical management so important?

Answer 4

Because with claims, nothing is more important than medical management.

By aggressively and effectively controlling these costs, we can have a direct positive impact on the bottom line (yours and ours).

Question 5

What are some factors driving up Medical Costs?

WE ATTACK THEM

Answer 5

Although there are many different factors some of the biggest contributors are:
OBESITY-This & other co-morbidities (smoking) increase cost 600%
AGING WORKFORCE-People are living & working longer
ECONOMY- Business looking for a way to increase income (providers)
NARCOTICS - CDC has labeled narcotics as an epidemic

Question 6

How does the Affordable Care act (ACA) impact us?

Answer 6

Dr

Question 7

What Makes Hartford the Best

Answer 7

DATA DRIVEN OUTCOMES (Don’t Forget Pharmacy)
UNIQUE CLINICAL SCALE
WE ATTACK PPD
MEDICARE MEDICARE MEDICARE