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High-cost claims have become the single fastest growing healthcare cost for employers in the last decade; a significant threat to employer-sponsored healthcare benefits. This Action Brief includes steps employers and other plan sponsors can take to mitigate high-cost claims while improving health outcomes.
Action Steps For Employers
1. Identify high-cost claims drivers by taking a deeper dive into data on associated costs (e.g., sites of care).
2. Mitigate or prevent the magnitude of high-cost claims by appropriately diagnosing and intervening early.
3. Ensure high-cost therapies are warranted.
4. Build the infrastructure to support a long-term strategy
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