Client Names withheld to protect confidentiality; references available on request
Major Urban Department of Health
Developed detailed rigorous plan to reduce infant mortality in disadvantaged communities by 35%, and to reduce healthcare, social services and special education costs by $22 million per year for an investment of $1-2 million a year in enhanced services.
- Identified five key drivers of 90% of health disparities (out of a total of 25 possible drivers) based on detailed analysis of 40,000 births.
- Reviewed over 100 infant mortality initiatives across US to identify those delivering strong results in addressing the five key drivers.
- Led work sessions with over 50 local stakeholders consisting of medical experts, practitioners, hospitals, MCOs, Department of Health staff and others to develop detailed program
- Developed detailed step-by-step implementation plan and program budget with input from key stakeholders
Medium-Sized Group Health Insurer
Identified poor performing health care regions and providers, reducing health care expenses by 10%.
- Flagged high cost local geographies (after adjusting for standard medical expense indices) to focus investigation of poor cost performance
- Developed detailed profile of health care services and providers driving high costs by region
- Identified opportunities to improve cost-effectiveness of providers and identify more cost effective treatments for individual insurers
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