You know about the importance of managing the care of the 20% of health plan members who have chronic conditions and will generate 80% of an employers claims.
But what about the 2% of the employees who will develop a severe, acute health problem, such as cancer or severe trauma, and generate 20% to 30% of an employers claims?
One strategy is to supplement traditional disease management programs with acute-care management programs.
The big difference between helping patients manage chronic health problems and helping patients deal with acute-care issues is that its much, much harder to pinpoint who will fall into the dreaded 2%.
Of course, some will be workers who had trouble managing their diabetes or their blood pressure, but others might be young, healthy, thin employees who stepped off a curb at the wrong moment.