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CONF I DENT I A L │ PAGE 27
Benefits Consulting Services RFP
Data Analytics
Our proposal includes tools with retroactive analysis and predictive modeling capabilities. Using these tools allows
us to coordinate worker’s compensation, medical claims, biometric screening and disability data to enable Unity to
make the most informed benefits decisions, effectively measure return on investment and monitor plan budget on a
real-time basis.
The key differentiator with CBIZ’s approach is how we use the analysis to help Unity make meaningful benefits
modifications. CBIZ’s strategic process will utilize analytic tools which measure controllable costs as identified in
drilldown reports. Once trends are identified actionable plans will be put in place to engage employees and potential
benefits plan designs to improve high cost drivers will be presented. The key to success is having all stakeholders
involved in the development and execution of the programs. Stakeholders should include all vendors, (Medical, Rx,
Disability, EAP, Vision, Dental), and community resources.
NavMD
CBIZ clients are given access to the priority forecasting tool, NavMD. NavMD Analytics is a predictive healthcare
analytics application delivering actionable insight for better decisions about managing the health of a given
population. Better decisions mean providing a higher quality of care at a lower cost with a focus on wellness. NavMD
Analytics consists of three main components as outlined on the following page.
A powerful facet of NavMD Analytics is that it generates information against actual claims data as soon as it is
updated. This allows you to examine the effectiveness of a health plan with relevant, up-to-date data. Additionally,
you have the power to monitor the progress of your health
care objectives and manage your health plan on a monthly
basis, just as you would any other budget item. The
system offers a wide range of claims analysis to determine
areas of a health plan that can be addressed in order to
mitigate claims expenditure, target cost savings and
increase wellness within a workforce. Additionally, the
tool allows wellness data to be imported into the system
so that you can see the direct correlation between
biometric screenings, health risk assessment data and
medical claims.
NavMD injects intelligence into the equation with best of
breed episodic groupings. Unlike other systems that
simply combine medical and pharmacy claims to give a
total costs, NavMD intelligently groups different types of
claims and associates them to underlying medical
conditions exposing the source of claims related activity.
NavMD also provides standard of care measurements and best practice guidelines for chronic conditions to profile
risk at the total population level, single member level, or anywhere in between. Standards of care also include age