The Six Percent: Managing High-Cost Outlier Claims

May 27, 2020

Did you know that, for most health plans, a mere 6-8% of covered members account for 80% of total claims spend? One of the foundational strategies behind value-based purchasing is focusing on reducing the frequency and severity of high cost claims. In other words, focus on the 6% of your members driving the majority of your costs and claims volatility in your plan.

Join us as we expose this prevalent challenge and debunk the myth that employers are helpless when it comes to managing the risk of high cost outlier patients.


The Six Percent Managing High-Cost Outlier Claims