Verisk Health’s D2Explorer Helps CoreSource Lower Overall Medical Costs - Insurance News | InsuranceNewsNet

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October 22, 2009
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Verisk Health’s D2Explorer Helps CoreSource Lower Overall Medical Costs

Verisk Health’s D2Explorer Helps CoreSource Lower Overall Medical Costs Verisk Health’s D2Explorer Helps CoreSource Lower Overall Medical Costs

Innovative program reduces medical expenses by maximizing member health potential

WALTHAM, Mass.--(BUSINESS WIRE)-- Verisk Health, Inc., a global leader in healthcare data analytics, announced today that CoreSource, a Trustmark Company and leading administrator of self-funded employee benefit plans, achieved lower medical costs and improved overall member health by using Verisk Health’s D2Explorer solution.

“Keeping employees healthy is the best way to keep medical costs in line,” said Rob Corrigan, vice president of Product Management & Planning at CoreSource. “Verisk Health’s sophisticated drill-down and predictive modeling capabilities were essential in helping us identify ways to make our programs more effective and efficient.”

CoreSource needed to transform available data into actionable information at both the population and individual levels. It implemented Verisk Health’s D2Explorer solution to analyze its employer medical and pharmacy claims, conduct drill-down analysis to identify areas of opportunity and clinical risk, and help drive the success of its “YourCare” care management program.

In its analysis of YourCare's first-year results, CoreSource reviewed medical claims data for 16 self-funded employer clients (with a total of 13,687 employees and approximately 29,120 covered lives) that implemented one or more YourCare programs during the first quarter of 2008 and had the programs in place through March 2009. Results of the program, now in its second year, include dramatic improvements in compliance with recommended treatment guidelines as well as financial and quality metrics. Some additional highlights include:

  • reducing expensive utilization by encouraging appropriate use of physician services to proactively manage chronic illness
  • decreasing emergency room visits by 5 percent and hospital admissions by 15 percent across five chronic conditions (diabetes, CAD, CHF, asthma, and COPD)
  • closing at least one “gap in care” for nearly 50 percent of members with chronic conditions

For more information on CoreSource’s success using D2Explorer, read our case study, “CoreSource gains competitive edge with Verisk Health’s D2Explorer,” at www.veriskhealth.com/research_casestudies.

About Verisk Health

Verisk Health, a subsidiary of Verisk Analytics, leverages healthcare data to help businesses and governments understand their medical and financial risk for the purpose of managing costs and clinical outcomes more effectively. Through the combination of leading predictive science, the finest evidence-based clinical engine, and superior technology, we have created the most extensive independent risk-assessment and decision-analytics platform in the healthcare industry. Our primary focus is to identify actionable strategies for managing healthcare costs and quality at both the individual and population levels. We consistently research, evaluate, and invest in our business to ensure that we remain leaders in our industry and the most efficient and effective solution for our clients. For more information, please visit http://www.veriskhealth.com.

About CoreSource

CoreSource is one of the nation’s leading TPAs, delivering integrated, customized employee benefit solutions to self-funded employers. CoreSource utilizes cutting-edge products and services designed to facilitate effective cost-containment strategies. CoreSource is a subsidiary of Trustmark Mutual Holding Company. Trustmark has assets of more than $1.7 billion and, through CoreSource and other subsidiaries, administers more than $2.5 billion in health and life benefits annually. For more information, visit www.coresource.com.

Verisk Health

Rosa Randazzo, 781-693-3739

Marketing Associate

or

CCA PR/Digital Media Group

Jamie Bull, 508-620-0791 x12

Source: Verisk Health, Inc.

Copyright Business Wire 2009 Innovative program reduces medical expenses by maximizing member health potential. Verisk Health, Inc., a global leader in healthcare data analytics, announced today that CoreSource, a Trustmark Company and leading administrator of self-funded employee benefit plans, achieved lower medical costs and improved overall member health by using Verisk Health's D2Explorer solution.

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