Take Control Of Your
Health Plan Spend
Health Cost IQ exists to help self-insured
entities save money within their health plans.
Smarter Health Plan
A SaaS platform that helps you effectively analyze
past spending, accurately predict future costs, and
make strategic changes to save your company money.
Customers reclaim an average of 20-30% annually in health costs,
resulting in hundreds of thousands to millions of dollars in
reduced health plan spend.
Armed with HCIQ’s data insights, customers can identify problematic utilization patterns and uncover inefficiencies, waste, fraud, and abuse within their health plans.
This deep dive into data analytics allows customers to forecast future healthcare costs, estimate trends, and predict potentially high-use, high-cost members.
HCIQ customers reclaim hundreds of thousands of dollars for midsize entities and tens of millions of dollars for larger enterprises in reduced health plan spending.
Reclaim 20-30% of Your Annual Spend
The cornerstone of effective health plan management is a data-driven approach. Armed with the tools and data insights available through HCIQ, organizations can engage in evidence-based decision-making. Our customers are equipped to:
- Quickly identify utilization patterns and cost trends
- Accurately intervene to curb hefty, unnecessary health plan spending
- Quantify inefficiencies, wasteful spending, potential fraud, abuse, and unnecessary costs
Gain Access to Critical Insights
In These Areas
Medical & Rx
Frequently Asked Customer Questions
Leveraging a suite of advanced algorithms, the dashboards within our Opportunity Discovery Module deliver insights derived from a comprehensive analysis of medical and pharmacy data. This deep dive uncovers systemic inefficiencies, wasteful spending, and avoidable costs that exist within most health plans. Clients are empowered to identify and quantify, in precise dollar amounts, overpayments and opportunities for savings. Armed with these insights, concrete actions can be taken to mitigate costs and proactively prevent recurrence.
Employing sophisticated risk stratification, profiling, and predictive modeling processes, our Risk Module monitors and measures the health status of members or groups and emerging health trends within the population. The Johns Hopkins ACG® System and the DataIQ® suite of proprietary algorithms chronologically and geographically highlight associated costs to prepare for future expenses proactively.
Our Health Plan Module contains a suite of administrative dashboards and reports designed to enhance the efficiency and cost-effectiveness of health plan management. Included are mapping applications that empower strategic decision-making across critical areas such as stop/loss coverage, plan renewals, population trends, and more.
Quotes From Clients and End-users
THIS IS AWESOME!!! I just can’t contain my excitement!! I think our carriers will be thrilled as well. THANKS, David and crew, for going above and beyond my expectations!!
Jean Ann CloudAsst. Benefit Plan Administrator – Operations
Holly and David are EXCELLENT at peeling apart the data and helping isolate and teach me where to obtain the info I need, AND are developing new dashboards and reports patiently with me and my availability. Whenever I do ask a question, I receive a response the same or next day!
Brian LewisVP of Operations & Client Services
Thank you for always being on the spot! I couldn’t do my job without you! Super happy that I can rely on you and the programs you’ve incorporated for us. It’s been a life saver!!
Ellen LewisBenefit Plan Administrator
Organizations like yours are already reaping the benefits of our data-driven approach.