Insuring successful businesses and the people who run them since 1974
Services Claim Utilization Analysis
Did you know that out of the total claim dollars spent for medical care:
  • 1% of the employees generate 25% to 30% of the total claims?


  • 5% of the employees generate more than 50% of the total claims?

How do you manage such a large percentage of claims generated by so few people? We push managed care vendors to promote Patient Care Management, Disease Management and Health Status Improvement programs. We can help you implement these programs for your employees.

Do you know if your employees utilize your benefit program more or less than most other employees? It is important to compare your plan's utilization against normative data to see if your plan's usage is normal or if there are savings opportunities that should be pursued. We work with the carriers to help employers understand how their plans are being utilized.

C.M. Smith also participates in a strategic alliance with D2Hawkeye, a leading firm in the field of health care data mining and analysis. Our partnership with D2Hawkeye allows our clients to identify opportunities for improvements in the financing and delivery of health care. Our partnership with D2Hawkeye is unique to the Connecticut marketplace, and offers an excellent chance to substantially improve the quality of health care for employees and their dependents.