Risk Management Results

Clients who utilized Kinetiq Health for 3 years or more saved an average of 8.7% on medical costs.

Kinetiq Health Solution

Reduce member risk

From nurses to health data analysts, our team of highly skilled people from the medical, pharmacy, underwriting and finance fields deliver value to our clients by addressing those areas of risk that cost employers the most — the medical and pharmacy benefit claims of their members.

Kinetiq Health is our prescriptive solution to managing health care risk.

It’s powered by professionals who leverage their practical experience to monitor current claims and reduce future ones. By continuously analyzing both financial and clinical data, we can promote better bottom-line health for your organization and improved health and well-being for your employees.

 

Population Health Management

Healthy Insights.
Driven by Data.

Our Services

Apex’s whole health strategy is designed to impact employee well-being and achieve the greatest ROI for your benefits investments. The Kinetiq Health solution is facilitated by a multi-disciplinary team of experts including: registered nurses, clinical pharmacists, registered dietitian, licensed clinical social worker, certified wellness coaches, former underwriters, health actuary and health data analysts.

Population Health Strategy

Nurses, pharmacists and Kinetiq Health program analysts review claims data regularly to better understand what part of your workforce is at highest risk and why. Combining these data points into a multi-year strategy, they outline opportunities for cost containment and member intervention.

Services and benefits include:

  • Actionable insights provided by clinicians who have practical medical experience
  • Disease and clinical management initiatives to impact those at highest risk
  • Registered nurses communicating peer-to-peer with insurers’ case management staff to get results faster
  • Price negotiation and member plan of care coordination directly with providers and carriers

Wellness Program Design and Implementation

Effectively engaging employees in wellness activities and implementing data-driven lifestyle management solutions is key to reducing costs. A Kinetiq Health program manager works with each self-funded client to create and implement customized wellness solutions aimed at improving the health, engagement and productivity of their workforce.

Services and benefits include:

  • Employee health assessments, needs and interest surveys
  • Year-round education that empowers employees to make more informed lifestyle decisions
  • Custom design and facilitation of programming from 1:1 health coaching to incentive programs
  • Reviews of data to continually assess health status and evaluate wellness offerings

Predictive Analytics and Reporting

Our health actuary and health data analysts assess the root causes of claims costs, predict future claims costs based on clinical risk stratification and model the impact of prospective plan alternatives. This ensures health care risk trends are identified with time to intervene — and result in the healthiest renewals possible.

Services and benefits include:

  • Whole health assessments of workforces
  • Educated analysis of data so you can make the best benefits decisions for your workforce
  • Meaningful reporting that offers clarity and actionable insights
  • Strategic plan design options based on years of actuarial, health care and underwriting experience

Pharmacy Benefits Consulting

Prescription drugs are one of the most complex aspects of employee benefits. To maximize your program’s effectiveness and minimize the drain on your bottom line, our team helps manage the impact of escalating pharmacy benefits costs by increasing the accountability and performance of the Pharmacy Benefit Manager (PBM).

Services and benefits include:

  • PBM contract and vendor management to make sure your costs are appropriate
  • PBM sourcing and negotiations to achieve better contract terms
  • Claims monitoring to identify risk and make sure you’re getting what you’re paying for
  • Ensuring members have access to the most appropriate and affordable medications when they need them
Learn more about Rx Consulting
Well-Being Webinars

Well-Being Webinars

Kinetiq Health’s Well-Being Webinars are streamed live at 12 p.m. the fourth Tuesday of each month. Click the link below to register for our next webinar or to view previous webinars.

Check out more Well-Being webinars
Wellness Wednesday

Wellness Wednesday

Kinetiq Health’s Wellness Wednesday articles are released weekly.  Click the link below to read the latest insights and tips for whole-person health and well-being.

Read more Wellness Wednesday articles

Pharmacy Benefits Consulting

Save 30% to 50% on your pharmacy benefits programs.

How much could you save? Learn more.

Our Team

Recent Insights