IntegerHealth is a healthcare technology company that uses advanced data analytics to help self-insured employers decrease the costs of their healthcare plans and workers’ compensation programs, while improving the care that their employees receive and getting them back to work faster.

There are two ways to make progress. Do what you have always done‒just do more of it, better and faster than before‒or creatively analyze the problem and design a solution unlike any other. The “more, better, faster” approach yields small incremental gains. That is not what we do.

At IntegerHealth we drive fundamental change by identifying the high and low value doctors and other providers in the employer’s network. Once we do that, the solution defines itself‒steer the employees and other plan participants toward the high value doctors, and away from the low value ones, because 30% of all healthcare costs are due to poor or ineffective care, and high value doctors squeeze out those excess costs.

Employers who self-insure are in a unique position because they own the medical and pharmacy claims that they pay. Employers that buy traditional insurance don’t own that data.

So self-insured employers working with us begin by sending us their claims data, and then they do something very special, they send us their HR records too because inside those human resource files live the outcomes of the claims.

What we’re doing is so extraordinary that we even have a patent pending on it.

There are companies out there that do transparency pricing. This doctor charges $100 per visit, this other doctor $200‒without considering that the first doctor may take three visits to get you better. And some companies even stitch together the related claims in an episode of care.

But they’re still only dealing with the claims‒half the equation. We’re the only ones who see everything: the claims, the productivity costs of the employee being off work, and the outcome.

So what do we do with this information? We rank the doctors and other providers in the employer’s network by diagnosis. We call it the QScore.

And then we get the employees to those top ranked doctors! It’s as simple as an employee going on our website and entering their illness or injury, whether it’s a bad back or migraine headaches, and then we identify the best providers in the network for that problem‒and if you have a heart condition or a sick child, who wouldn’t want to go to the top ranked doctor?

If the employee prefers, he or she can call our 800# or chat online with one of our healthcare counselors. We’re happy to get the employees to high value healthcare by whatever means they prefer.

We don’t wait for employees to contact us, however. Our algorithms also identify employees seeking help for specific problems and then we call, email or text them or their primary care physicians with high value options.

By sending employees to the top doctors, the employer pays less overall, the employees get better care, and they get back to work faster.

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