Healthcare

Consumer Solutions for Employers

Employers can activate their employees to become engaged consumers, who take greater ownership of their own health and wellness, by offering them personalized and relevant healthcare information throughout the year with Consumer Advantage.

Benefits

  • Our Informed Enrollment solution guides employees to make sound benefit decisions. At the heart of the solution is a personalized, healthcare cost and utilization summary for employees and their families. This valuable information is the basis for an insightful comparison of the benefit plan and healthcare savings options tailored specifically to the individual's current or anticipated circumstances. Employees also receive guidance on contributions to FSA/HSA accounts. This information can be delivered in letters, integrated into enrollment systems or provided through our online service. Informed enrollment engages employees to thoughtfully consider new options, maximize their tax advantages, and avoid over-insuring. 

  • Personal Health Insights helps employees monitor and improve their health by providing simple, easy-to-read summaries of their healthcare utilization and financial balances. The statements include action-oriented alerts highlighting opportunities to save money and improve health (gaps-in-care and preventive care). Personal Health Insights can be conveyed in print or online format on a monthly, quarterly or annual basis to educate and activate your employees. 

  • Personalized Messaging proactively engages employees with persuasive reminders on preventive healthcare. These reminders are tailored to the specific age, gender and behavioral profile of each recipient making them highly effective. Message topics include recommendations from the U.S. Preventive Services Task Force, such as a reminder to women over 40 to obtain a mammogram once every two years depending on their risk factor, and a reminder to those at high risk for diabetes to take a fasting glucose test. Our solution includes targeted messaging campaigns for distinct segments of your population and then tracks response rates over time to drive refinement and learning over time. This health communication system effectively promotes employee health and reduces your risk. 

  • Our Treatment Cost Calculator provides price transparency and supports consumers in planning for the financial aspects of their healthcare. This solution helps your consumers understand their real out-of-pocket expenditures for future care and illustrates how these costs vary by provider. We incorporate real-time information on individuals' actual benefits (e.g., remaining deductible, out-of-pocket maximums, coinsurance). The resulting estimates are highly personalized, accurate, and meaningful. Our treatment cost calculator can be used by providers to ensure that consumers understand and can plan for future costs -- avoiding surprises, improving satisfaction, and freeing providers to focus on care, not collections. 

  • Our Health Education Library supports individuals in raising their health literacy to have effective discussions with their care providers and be more confident in their healthcare decisions. Consumers can search the health encyclopedia, drug information, health centers and alternative medicine guides to learn, evaluate options and make decisions. Our health education library includes over 26 different modules. Our highly regarded Reuters Health News channel offers accurate readable and informative news every day on consumer health topics. Our modules can be searched by consumers and also embedded in applications to provide the right information at the teachable moment. 

  • Consumer analytics provide clear measurement of your program performance and return on investment. We leverage our competence in data integration to assess and measure program impact and drive ongoing refinement to focus scarce resources effectively.

  1. Informed Enrollment

    To help employees become better healthcare consumers, employers need to find ways to provide them with tailored communication at a critical time -- benefits enrollment. Informed Enrollment from Thomson Reuters uses personalized claims data to help your employees make wise healthcare decisions. Leveraging the Advantage Suite database, we populate a personalized employee healthcare usage and cost summary. The summary provides the employee with actual healthcare usage information to inform decisions during enrollment regarding health plan options and FSA contributions.

  2. Personal Health Insights

    Personal Health Insights empowers consumers with simple, easy-to-read summaries of their healthcare utilization and financial balances. The statements also provide "gaps-in-care" alerts that highlight missing preventive care or treatments according to evidence-based guidelines. Additionally, consumers receive potential savings alerts highlighting opportunities to save money on their healthcare.

  3. Personalized Messaging

    The Personalized Messaging solution is designed to help health plans and employers proactively engage their employees and members with personalized, timely, actionable information. The persuasive reminders-tailored to the age, gender, ethnicity, household status, and medical history of recipients-tap in to a database of behavioral insights derived from consumer research. The resulting messages are designed to help individuals stay healthy by overcoming perceived barriers to preventive care and to effectively manage chonic conditions.

  4. Treatment Cost Calculator

    With health benefit redesign, consumers are paying a more significant portion of their healthcare costs than ever before. This changing dynamic of healthcare payment creates challenges for both consumers and providers. Decision support tools to engage consumers in planning for healthcare costs and to help providers set expectations up front are imperative.