Our impact: Measurable + meaningful

Second opinion

Client

$95 billion global aerospace company

Problem

Second-opinion benefits were being utilized by employees with common, everyday ailments rather than those likely to require high-cost care for conditions such as back pain and cancer. This was caused by an inability to target sub-populations likely headed for major treatment who could benefit from a second opinion.

Goal

Increase second-opinion utilization for members at high risk for back, knee, hip, and neck surgeries, decreasing the expense of high-cost surgeries when better options exist.

Our approach

Generate target member list using high-volume claims data and predictive algorithms with engagement messaging guided by behavioral science.

Outcome

59 members consulted 2nd-opinion service for musculoskeletal conditions

$2.1 million avoided in unnecessary treatments*

10 members consulted 2nd-opinion service for prostate & breast cancers

$360,000 avoided in unnecessary treatments*

*Savings estimates provided by 2nd-opinion vendor

Download this impact story