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Employer group health plans: member removals and plan lifecycle

Business question
What really happens over the life of an employer group health plan, member removals included?
What's at stake
For a health plan covering 5,000 employees through employer group plans: 24 to 48 avoidable removals prevented a year, or $216k to $432k in premium retained.
Data required
Group contract movement history (enrollments, removals, amendments), associated HR contacts.
Sample result
Analysis of removal reasons and critical moments in the group contract lifecycle.
Demo · 1 min
Illustrative scenario

Consider a health plan covering 5,000 employees across about a hundred employer groups. The analysis ties each removal to its reason and to the related HR exchanges, and flags the removals caused by an administrative error or a billing issue that could have been fixed.

MetricBeforeAfter
Avoidable removals per year12084
Employees removed per year400364
Premium lost to removals, per year$3.6M$3.28M
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