INSPERA HEALTH – Meet A Vendor

Shortlister hosted Lee Murphy, CEO at Inspera Health, to share how they transform the health of individuals with five or more lifelong chronic conditions

Since 1996, Inspera Health takes a team approach to develop a personalized plan for each individual. Over a period of 15 – 24 months, they work with members who have complex health and social needs to improve their health

This program focuses on:

  • Persistent high-cost claimants
  • A holistic approach that integrates mental health and addresses social determinants of health (SDoH
  • Producing sustained behavior change
  • Providing independent metrics to measure health improvemen
  • Offering health improvement and financial guarantees

WHY IS THIS IMPORTANT?

The Inspera Health target population:

  • 90% are in the top 20% of 3-year health care spend
  • 50% are in the top 10% of 3-year health care spend
  • Incurs 160% more disability utilization than others on disability
  • Average participant is age 52 with 15+ years of service – these individuals are not career mobile
  • Over the next 10 years, each one will cost the employer over $400,00

HOW DOES INSPERA HEALTH MEASURE THEIR IMPACT?

Inspera Health measures both health and financial improvement with a 30% guarantee.

They use the MCC Health Impact Index® which integrates 10 independently validated clinical and behavioral measures of health improvement.

When it comes to financial improvement, they use pre- and post-program actual health and pharmacy claims spend to demonstrate cost savings

INSPERA HEALTH IS A GOOD FIT FOR YOU IF:

  • 15% or more of your health plan population is over age 50, or
  • 50% of those over 50 have 10 years of service or more, or
  • 25% of your health plan population have 3 or more chronic conditions (CCs), or
  • You are offering other care management services where Inspera Health can complement these programs by handling the more complex members, those with 5+ MCCs

You should consider choosing Inspera Health because they take a holistic approach that is unique to each member, which integrates mental health and social needs (SDoH). They have well-documented results and performance guarantees

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