Results That Matter

A Quantum Health Research Brief

Using data science to Early healthcare navigation support reduces employer

validate the effectiveness
of early intervention:
a book of business review
healthcare costs and increases employee satisfaction.
Analysis of over 175 million claims conducted by an independent healthcare
data science company shows that Quantum Health’s Real-Time Intercept™
(RTI) model is effective at simplifying the healthcare experience for
consumers and lowering expenditure for employer-sponsored plans.
RTI is a proprietary system that combines technology, real-time data
and provider engagement with deep clinical expertise. In real time, it
continuously understands an employee’s needs, actions and treatments,
enabling Quantum Health to know when crucial care decisions are being
made. Quantum Health then provides guidance—including the best
resources and most cost-effective care—earlier in the healthcare journey
than providers or other solutions.

Methods
Quantum Health partnered with data science
leader, Cogitativo, to conduct a study across the Data Set
entire portfolio of Quantum Health’s self-insured Analyzed
employer clients. They analyzed a variety of • 2.1 million members
data sets, including medical and pharmacy
• 176 million medical and pharmacy claims
claims, care coordinator conversations and
customer service surveys. Analysis included AI • $22 billion in paid claims
and natural language processing techniques, as • Customer service and care coordination interactions
well as rigorous statistical tests.
• Customer survey and comment data

©2019 Quantum Health

All rights reserved. | 202001
Results
The research focused on understanding the impact of early Nearly $75,000 saved
intervention on healthcare costs and consumer experience— per high-claimant case
measured as Net Promoter Score (NPS). The key finding is that over $100,000
earlier is better. Applying various timeframes, the data revealed
that Quantum Health’s RTI model saves $300 to $1,200 per
Up to 60% increase
person per year, and that savings increase dramatically when
in preventive services
consumers engage six or more months before incurring a claim.
Additional findings found that early intervention:
• Improves in-network care delivery and lowers out-of-network
costs by up to 30% for nearly two years following engagement Up to 30% reduction
in out-of-network costs
• Saves nearly $75,000 per year for high-claimant patients with
claims over $100,000
• Increases preventive services utilization by as much as 60%
76 Net Promoter Score
• Contributes to Quantum Health’s average NPS score of 76, up
to ten times higher than industry norms

With over 20 years of consumer journey mapping and consumer and provider
interaction, this 2019 independent data analysis validates Quantum Health’s
differentiated approach, innovation and expertise in providing navigation
support. Quantum Health has a clearly measurable impact on eliminating the
complexity of healthcare and changing the behaviors that drive costs.

For more information contact

Connect@Quantum-Health.com | 800-257-2038

©2019 Quantum Health

All rights reserved. | 202001