Is Your Health Plan Data Trying to Tell You Something?

Let our Health Data IQ platform and trademarked 3-step process bring your claims, pharmacy, and premium data to life and empower you to act quicker to reduce your health plan costs

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    Predict

    Our Data IQ platform enables you to predict health cost, disease burden, and utilization for your population up to 12 months in advance using advanced, proven risk stratification and predictive modeling technologies developed at Johns Hopkins University and Health Cost IQ.

  • reduce health plan costs analytics
    Interpret

    Intuitive, easy to use dashboards quickly identify utilization patterns and cost trends in your data, stratifying members and employer groups into distinct risk categories in the process along with displaying the utilization behavior and disease burden driving their risk profile.

  • health plan cost management
    Act

    With this information updated and readily available with each data refresh, you can act preemptively in so many ways, such as initiating targeted member and group interventions, setting appropriate premiums for your employer groups well ahead of renewals, and more.

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Powerful Insights for Healthier Populations and a Healthy Bottom Line

Whether you are a large or small PEO looking to make sense of your claims and premium data, a broker seeking to establish yourself as a serious player in the market, or a medical management company looking to deliver the best value to your clients, the challenges are largely the same, and they tend to revolve around how best to make health data actionable and use it to drive decision-making.

The Health Data IQ platform was built from the ground up to address this serious deficiency. This highly customizable platform is easy to deploy and use, and we handle all the heavy data lifting for you. In fact, once we have a BAA signed with your data vendor, most clients never have to lift a finger during implementation until their dashboards are deployed and ready for use.

Click on the appropriate tab below to learn more more and to find out how this powerful platform can transform your organizational decision making and tremendously enhance your bottom line.

Increase your Health Data IQ with a Few Clicks
"3% – 5% of your total population are responsible for
40% – 50% of your total healthcare spend."
Analysis paralysis is a common symptom of data overload. It’s not that many folks don’t know what they are looking for. The problem is that it takes many steps and many clicks to get to the data they need, and then many more hours to make sense of the data once you find it. 

HCQ simplifies that process by performing advanced risk stratification and predictive modeling processes on your data and presenting the results to you in a clean, easy to use interface, enabling you to get the information you need quickly, so you can spend your time on doing your work and making important decisions.

Below are just a few use cases coming out of the Health Data IQ platform:

  • Who are our riskiest members and groups, what are they costing us now, and what will they cost us in the future?

    Our Utilization Cost module utilizes sophisticated statistical modeling, based on the Johns Hopkins ACG System and the DataIQ predictive model to forecast costs across multiple risk categories, 12 months into the future. Individual members as well as disease clusters and employer groups are risk-adjusted and stratified into one of 5 high-level risk groupings, providing Meaningful insights into the pattern and flow of cost and utilization across populations and employer groups.

  • What chronic conditions are most prevalent in our population and where geographically are they most prevalent?

    Our Disease Conditions module displays disease prevalence in the whole population, with the ability to drill down to entire chronic conditions, employer groups, and individual clinical profiles depending on the role of the user. Drill down to individual ZIP codes or cities is also available for policymakers.

  • What are care utilization patterns for our employer groups, employees, and their families?

    Our Employee Utilization module provides stratification of risk, cost, and utilization patterns of employees and their dependents as well as for employer groups. The most frequently visited care locations for each group are highlighted (ER, urgent care center, hospital admissions, etc.). The same type of analysis is available by medical plans.

  • Which members or groups are using the Emergency Room or Urgent Care for primary care rather than a PCP?

    Our Emergency Room and Urgent Care module displays a Frequent Flier report showing the members or groups who are the heaviest users of these high-cost services, analyzing what days of the week they tend to utilize these services the most. Additional detail is also available, including their geographical locations and clinical profiles.

  • How do we get a handle on medication adherence?

    The Pharmacy Profiling module tracks all prescriptions that have been written; monitoring whether chronically ill patients fill their prescriptions on time, as required, or even have a prescription to treat their conditions. “Action reports” spotlighting individuals whose prescriptions have lapsed is available, valuable for follow-up by case managers. Insights about pharmacy costs, prescription patterns of individual providers and provider specialties, and drug utilization by members and groups can be easily called up with just a few clicks..

  • How do we measure provider risk burden?

    The Provider Profiling comprehensive risk profiles of providers across all chronic conditions, including average risk scores for each provider’s panel, cost, and clinical profiles. Tools are provided for efficient analyses and comparison of the risk and illness burden borne by individual providers across the entire population.

  • How do we ensure geo-access for our members and their families?

    Population Mapping application generates reporting for geo-access analytics and for geographical tracking of disease prevalence by a chronic condition, member demographics, prevalent health risks, and more. A highly customizable map to geographically track an unlimited number of metrics to ensure that organizations can better respond to changing demographics, provider access issues, member and group needs, and more.

  • Can we track and measure what’s happening over time?

    The powerful Risk Trends module provides ongoing tracking for changes in the health status of members and risk profiles of employer groups as well as monitors new medical conditions that are occurring within the population. This module chronologically and graphically highlights trends along with all associated costs to aid in the detection and aversion of negative clinical and cost trends.

  • How do I prevent folks from falling through the cracks?

    An Unusual Cases module monitors potentially high-use, high-cost individuals and groups who exhibit characteristics that may necessitate more proactive case management or intervention. It provides profiling of groups such as maternity patients, frail members, and members with unusual categories of diagnosis and recommends individuals and groups for closer monitoring and intervention by case managers and care coordinators.

  • Can the system help us keep an eye on our Stop Loss coverage?

    The Stop Loss module consists of an administrative dashboard that utilizes a client-specified deductible amount (such as $500K) and deductible threshold (such as 50%) for a health plan to analyze individuals and groups that have met or exceeded the threshold that triggers individual or aggregate stop loss coverage. Deductible amount and threshold are adjustable on the fly by the user. Details such as family relationship, total claims amount, diagnoses, procedures, and medication cost are displayed for those that meet the criteria.

Blog

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    September 2, 2019 at 7:00 AM
    Health Cost IQ (HCQ) is a SaaS ecosystem that helps minimize excessive healthcare spending through a proven methodology that identifies various risk ...
  • Welcome to Health Cost IQ!
    March 16, 2018 at 4:00 AM
    Health Cost IQ (HCQ) is a healthcare analytics and predictive modeling company built from the ground up to empower organizations to increase employee ...

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Health Cost IQ (HCQ)
Your Trusted Partner for Cost Management, Population Health, and Health Plan Analytics

HCQ was founded by an experienced team of healthcare, medical, and IT professionals with a combined experience of over 120 years.

The company was borne out of the original founder's PhD research into the enormous health costs associated with hospital treatment, and the lack of proportionally positive health outcomes that result from those high costs.

Mission

We create actionable insights to help organizations solve big healthcare challenges, empowering decision-makers to improve lives and reduce costs.

Vision

We intend to have a profound and positive impact on America’s healthcare system, improving the health of millions while significantly reducing the healthcare cost burden felt by employers of all sizes and organizations in the health sector.

Values

Clarity

We clearly identify each client’s unique goals and needs, then we apply our proprietary tools to transform data into clear, meaningful insights. We then help each client build clear step-by-step plans to improve lives & reduce costs

Accuracy

Our commitment to urgency will always be balanced by an equal respect for doing accurate work. We strive to get our clients to value much sooner than others can, but doing so meticulously and deliberately.

Value

We bring sophisticated technology to organizations that may think they cannot afford it and we offer “big vendor” solutions at accessible price points. We strive to turn masses of data into cogent stories that create tremendous value for our clients.

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Careers @ HCQ

We are looking for individuals to join our team who are innovative, self-motivated and looking to help drive change in the healthcare industry. Whether working out of our main office in Chandler, AZ or remotely, you will enjoy working in a warm and inviting, small-company atmosphere where your opinion is valued and your contributions make a difference. We offer a full range of benefits including full medical, dental, vision, life, a retirement plan, and more. An on-site gym with the latest exercise equipment is available to employees both during and off hours.

HCQ has the following positions available:

Leadership Team

Advisory Board

Investors

Contact us
Give us a call or send us an email with your questions or comments or to request a web demo of our Health Data IQ platform.

Hours
  1. Monday
    9:00am
    10:00pm
  2. Tuesday
    9:00am
    10:00pm
  3. Wednesday
    9:00am
    10:00pm
  4. Thursday
    9:00am
    10:00pm
  5. Friday
    9:00am
    10:00pm
  6. Saturday
    9:00am
    6:00pm
  7. Sunday
    9:00am
    12:00pm
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