Expensive health plans equal healthy employees, right?

by Mar, 2021

The CEO of a manufacturing company was interested in investigating health benefit options for the company’s workforce. Part of the health benefit exploration included the effectiveness of the existing plan as well as exploring new solutions and approaches. ModRN Health was engaged as a demonstrative example of potential changes to the company’s health plan.

As a trial, ModRN Health performed an on-site biometric screening, labs and interviews for 20% of the employee population to baseline current employee health. While all employees in the trial population had health insurance through the company, there were significant gaps in basic care.

  • 50% had undiagnosed hypertension
  • 48% did not have a primary doctor
  • 43% were overdue for colonoscopies
  • 50% were overdue for mammograms

The primary reasons employees stated for not completing routine, preventative and wellness exams:

  • key employee had bad experience with network provider in plan
  • bureaucracy, difficulty, and time consumption
  • lower priority in the employee’s hierarchy of life needs

ModRN Health was able to engage the employees, diagnose, treat all hypertension cases and develop ongoing care plans. All preventative procedures were scheduled over the next several weeks that best fit employees’ schedules.

Employers struggle with paying for yearly increased costs of health benefits while a significant percentage of employees are delaying or deferring care even though the employee has health insurance. Delayed and/or deferred care represents future claims costs that could be avoided or significantly reduced if addressed timely. Additionally, employers occur costs in absenteeism, reduced productivity due to impaired performance, and workman’s comp.

This is the best my blood pressure has been in over ten years. I finally don’t feel dizzy all of the time!

-Manufacturing Employee