INSPERA HEALTH – Meet A Vendor
Shortlister hosted Lee Murphy, CEO at Inspera Health, to share how they transform the health of individuals with five or more lifelong chronic conditions
Since 1996, Inspera Health takes a team approach to develop a personalized plan for each individual. Over a period of 15 – 24 months, they work with members who have complex health and social needs to improve their health
This program focuses on:
- Persistent high-cost claimants
- A holistic approach that integrates mental health and addresses social determinants of health (SDoH
- Producing sustained behavior change
- Providing independent metrics to measure health improvemen
- Offering health improvement and financial guarantees
WHY IS THIS IMPORTANT?
The Inspera Health target population:
- 90% are in the top 20% of 3-year health care spend
- 50% are in the top 10% of 3-year health care spend
- Incurs 160% more disability utilization than others on disability
- Average participant is age 52 with 15+ years of service – these individuals are not career mobile
- Over the next 10 years, each one will cost the employer over $400,00
HOW DOES INSPERA HEALTH MEASURE THEIR IMPACT?
Inspera Health measures both health and financial improvement with a 30% guarantee.
They use the MCC Health Impact Index® which integrates 10 independently validated clinical and behavioral measures of health improvement.
When it comes to financial improvement, they use pre- and post-program actual health and pharmacy claims spend to demonstrate cost savings
INSPERA HEALTH IS A GOOD FIT FOR YOU IF:
- 15% or more of your health plan population is over age 50, or
- 50% of those over 50 have 10 years of service or more, or
- 25% of your health plan population have 3 or more chronic conditions (CCs), or
- You are offering other care management services where Inspera Health can complement these programs by handling the more complex members, those with 5+ MCCs
You should consider choosing Inspera Health because they take a holistic approach that is unique to each member, which integrates mental health and social needs (SDoH). They have well-documented results and performance guarantees
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