IntegerHealth Technologies

Hospitals and Health CareTexas, United States11-50 Employees

IntegerHealth is a healthcare analytics company that quantifies healthcare outcomes for insurers and employers‒something that no one else does. We put a $ & ¢ value on each outcome, generating actionable analytics that drive down healthcare costs while improving the quality of care for health plans and workers’ compensation programs.

We have two ways of quantifying outcomes depending on the data available to us:

•	Claims + Absence Costs‒When we have the medical and pharmacy claims and an employer’s HR absence records we calculate the risk-adjusted total costs (claims + absence) to get an employee back to work and/or keep them there. We use this solution to quantify the employee outcomes for employers that self-insure their health plans and workers’ compensation programs; and we also use it with workers’ compensation insurers and TPAs, who can substitute the indemnity payments to the injured employees for the absence costs.

•	Claims per Heathy Day‒When we have just the claims, we calculate the risk-adjusted claims per healthy day. Instead of asking how much it costs, and how long it takes, to get an employee better and back to work, we ask how much it costs in claims per day to keep someone healthy. We use this solution for health insurance companies and TPAs, Medicare Advantage plans, state and other multi-employer health plans, ACOs and provider groups taking on risk, and when measuring the outcomes of the dependents under an employer health plan.

We've included on this page videos, case studies, articles and other documents explaining these solutions, as well as the power of quantifying healthcare outcomes to drive down healthcare costs while improving the quality of care.

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