Emergency room visits can quickly add significant dollars to a plan spend and result in unnecessary or inappropriate care to members. Knowing how you’re performing in this area is essential to good plan management.
Studies have shown that up to 70% of emergency room visits are not for the treatment of true emergencies. At an added cost of $1,000 or so per visit, employers may be overspending up to $150 per plan member per year on unnecessary ER services.
How do your plan results compare? Let us know if you would like to learn more about how to improve your score in this area.
Do you know who your “frequent ER fliers” are? Have you educated plan members and adjusted benefit levels so they think twice before running to the ER?
Knowing the strategies to help eliminate unnecessary emergency room use can reduce costs to the plan while avoiding burdensome charges to members and helping ensure they receive the right care at the right time.
*From Chelko Consulting Group’s proprietary database of employer results.
“Keeping Score” is an ongoing series where we share results from clients’ data, so you have the opportunity to compare how your health plan is performing relative to others. We hope you find it beneficial. Because, after all, you can’t manage what you don’t measure.