Module 2 conducting a gap analysis Flashcards
Define a benefits, gap analysis
A benefits gap analysis is the process of obtaining an analyzing information to determine the current state of your benefits, and compare them to the desired state of your benefits
What are the key activities involved with determining the current state of benefits?
Conduct a baseline analysis
Conduct competitive analysis
Evaluate strategies and goals
Conduct workforce analysis
Consider workforce trends
List eight tools that assist in assessment of benefits plans
Professional advisors
Specific performance measures
Employee focus groups
Management reports
External surveys
Management feedback interviews
Benchmarks
Employee survey
Why would you use professional advisors or consultants?
They have access to many surveys
They are aware of trends and emerging innovations
When conducting a benefits assessment list some specific performance measures
Organizational management
Customer service levels
Provider network management
Clinical indicators
When conducting a benefits assessment why is it important to use focus groups?
Provides an opportunity for qualitative versus quantitative information
Does not include content experts
Uses an external facilitator
During the benefits assessment, what management reports are important
Utilization management reports
Track and report quality, healthcare delivery indicators HEDIS
Customize and timely data reports
When conducting a benefits assessment, why are external surveys valuable?
Consulting firms have annual benchmark surveys
Trade associations and employer associations
Research surveys done specifically by organizations that provide services within that particular field
During a benefits assessment, what’s the purpose of management feedback interviews
Established priorities
Educational process
Identify sensitive issues
During a benefits assessment, why use benchmarks
Helps to compare organizational benefits to competitors
Enables the organization to compare benchmark data, including
Value
Quality
Service
Cost-effectiveness
Plan design feature
Plan experience
Total compensation indices
What’s the primary means of getting employee feedback during a benefits assessment
Employee survey
What considerations are included in a baseline benefits analysis
Cost
Utilization
Vendor performance
Employee satisfaction
Vendor contracts
Establish baseline measurements
When conducting a baseline benefits analysis, what are potential costs that must be measured
Cost include claims, administration, premiums, and internal costs
It’s important to monitor benefits, plan, expenses versus budget
During competitive benefits analysis, what are some factors used to define the peer group?
Who are you competing with?
Who is delivering best in practice?
How does the organization want to compare to the competition?
Does the organization want to lead, lag, or maintain the status quo
During competitive benefits analysis, how do you acquire peer group comparison?
Databases
Survey
Direct contact
Consulting groups