SOURCE: Healthentic


September 16, 2014 12:00 ET

Healthentic Finds Less Than One Percent of Workforce Accounts for Up to 41 Percent of Medical and Pharmacy Costs

Employers Pay More Than $110,000 Annually for Each High-Cost Patient

SEATTLE, WA--(Marketwired - Sep 16, 2014) - Healthentic, an analytics company focused on easily measuring population health, released an analysis on high-cost employees (costs equal to or greater than $50,000 annually) today. Looking at 28 different organizations with at least 1,000 insured members, Healthentic found the percentages of total costs due to high-cost patients ranged from a low of eight percent to a high of 41 percent, with the median value coming in at 26 percent.

On average, employers paid $113,379 in medical and pharmacy expenses for each individual high-cost member, compared to just $2,751 for everyone else.

"The fact that employers can save more than $110,000 by preventing just one high-cost member is pretty eye-opening and shows why it's so important for organizations to understand their population's health and how it impacts their bottom line," said Sean Gallivan, Chief Operating Officer of Healthentic.

"Healthentic has been invaluable to our business," said Greg Howe, Wellness Manager of Lincoln Industries. "Their data helps us better understand our population health risks and empowers us to make more informed decisions on where to spend our time and resources."

Healthentic's full analysis found the vast majority of high-cost members revert back to low/standard cost year-over-year. The three biggest contributors to the high-cost category include cancer, chronic kidney failure and complicated births. To help alleviate the high-costs resulting from these conditions, Healthentic recommends:

  • Promoting evidenced-based cancer screening
  • Effectively managing diabetes and hypertension
  • Making case management available for high-risk pregnancies and complicated births

To see the full high-cost member analysis, visit

About Healthentic
Healthentic, an innovative analytics platform, is the easiest way to measure population health. Healthentic's,Population Health Dashboard (PhD) gives businesses critical insights using the power of whole health informatics to make changes to their plans and programs in order to lower costs while improving overall employee health and productivity. Healthentic works with more than 10,800 enterprises, and covers more than 38.7 million lives. To learn more, visit

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