Health Risk Navigator
Connect with our team today to learn more about using Health Risk Navigator.
What is Health Risk Navigator?
Health Risk Navigator is a predictive model from Aon that leverages the power of data, analytics and machine learning to forecast future medical and pharmacy claims risk within an organization.
The unique risk classification methodology embedded in Health Risk Navigator ensures you'll gain deep insights into the risk factors and top health conditions impacting high-risk plan participants (or members). With this information in hand, you can then select the most suitable and cost-effective care management programs to address member needs and achieve business goals.
With Health Risk Navigator you can revolutionize your care management and budget planning processes by providing unprecedented predictions, continuous monitoring, and actionable recommendations, giving you the confidence to manage your claims risk and healthcare expenses.
Why is Health Risk Navigator Important?
A significant challenge for employers looking to manage rapidly rising healthcare costs is the growth of high-cost claimants. This population is expanding due to a number of factors, including the emergence of high-cost injectable drugs, an increase in cancer diagnosis rates, and longer hospital stays for complex conditions and procedures.
Today, employers rely on care management to mitigate the cost of these claimants, but existing systems commonly fail to address emerging risks before they become a challenge. Further, employers face difficulties transferring high-cost claimant risk, particularly recurring risks. Health Risk Navigator gives organizations a tool to identify and manage high-cost members earlier in the process and budget for predictable risk accordingly.
Percentage of medical spend driven by just one percent of members.
How Aon Can Help
Predictive Modeling — Historical claims data is used by our data scientists to predict high-cost claim risk, by stratifying members into risk segments based on their claims history and demographics using machine learning.
Risk Optimization — Understanding future risk enables smart budgeting, allowing employers to better prepare for predicted claim volatility as well as make the best decisions on how to manage and budget for the at-risk population.
Ongoing Monitoring — When integrated with a direct data feed, Health Risk Navigator can provide ongoing monitoring and predictive-modeling updates to continually identify at-risk members and provide updated cost impacts.
Over half of high-cost claimants are predictable. Predictive modeling enables proactive strategies to plan for and protect against this risk - from actions such as reinsurance strategies, budget planning and care management programs.
Working With Aon
Our team of experts collaborates with you to devise a comprehensive plan that aligns with your risk tolerance. We provide valuable insights by examining your historical claims risk, assessing your appetite for uncertainty, and analyzing the trade-off between risk and reward. We continuously monitor and provide predictive updates before renewals and budgeting decisions, empowering you with the knowledge to make informed financial and risk management strategies.
With Health Risk Navigator, you gain a valuable tool to confidently navigate the complexities of managing high-cost claimants. By gaining a deeper understanding of your future claims risk and population, you are empowered to make informed decisions. This knowledge supports meticulous risk planning, effective healthcare expense budgeting, and efficient claims management, paving the way for a more secure and sustainable future.