The successful management of a health plan operator necessarily involves accurate management of the financial sector. The correct identification of costs in providing the solution is essential so that the correct values can be attributed to the plans offered. This way, beneficiary and operator can enjoy the best value for money.
To do this, it is essential to understand the costs associated with each disease and treatment, as well as adequately listing which diseases are most expensive for your operator. With this in mind, we created this article especially on the topic.
Continue reading to find out which diseases generate the most costs for health plans.
And to check out other useful tips on managing a health plan operator, visit our blog!
First, understand the root causes of costs
The diseases that generate the most expenses have this position not only because they require specialists, exams and high-cost treatments. It is important to note that they are also the ones that affect the majority of health plan beneficiaries.
To better understand this situation, see this data obtained by IESS (Institute for Studies in Supplementary Health): according to the organization, most plan members have important risk factors for chronic diseases that require expensive monitoring.
The Institute also found that such conditions are more prevalent among users of medical insurance than among non-users. But what would these risk factors be?
Diabetes and High Blood Pressure are some of the factors. And they are often generated for reasons such as a sedentary lifestyle, abuse of unhealthy foods, use of tobacco, alcohol, etc. Therefore, investing in health prevention programs is important and contributes to cost reduction, in addition to the advantages that ANS offers to operators holding these programs.
Considering these aspects is very important for the financial management of the health plan operator. They give rise to or contribute to the emergence of Chronic Noncommunicable Diseases (NCDs) that increase business costs.
Do you want to know what your operator's biggest costs are? Discover our solutions!
Most expensive illnesses for health plan providers
According to information provided by Mercer Marsh Benefits, based on the Global Medical Trends study in 2019, the leading disease in terms of costs for health plans is cancer.
It is worth noting that this condition, which may be genetic in origin, is likely to be aggravated by bad habits and risk factors that are so common among plan beneficiaries.
Secondly, the research identified diseases that affect the circulatory system, defined by the National Health Service as all those that affect the heart and blood vessel structures.
This study also considered important information about risk factors, and found that the risk of cardiovascular diseases increased from 88 to the 97% range between the last two editions of the research.
The organization also obtained data on the most prevalent risk factors in Latin America, with dietary factors being identified as most important. In turn, these contribute not only to diseases of the circulatory system and, to some extent, to the emergence of cancer, but also to third place on the list of diseases that generate the most costs for health plans: gastrointestinal diseases.
In fourth and fifth place are respiratory and endocrine, metabolic diseases, followed by musculoskeletal, obstetric and infectious diseases, such as HIV.
Count on technology
Now that you know which diseases are most expensive for operators, it is important to know how they affect your business. To achieve this, it is essential to rely on technology and implement a system for managing care costs. Discover how the SAUDI system It's ideal for right now!
