The State of South Dakota (SOSD) employs over 12,000 individuals and covers over 25,000 members on their self-insured plan. Employees work across the state within 31 departments and 10 advanced learning institutes. The state's legislature oversees SOSD benefits budget/performance.
In 2020, the SOSD engaged their insurance broker's ‘Planning and Analytics for Total Health’ (PATH) to perform expansive data analytics and to introduce innovative, evidence-informed strategies to improve member health while controlling escalating costs. The PATH team consists of a DNP, RN clinical consultant, health management consultant, and data analyst. To inform SOSD’s health and well-being strategy, PATH analyzed medical, pharmacy, and vendor data in their data platform and engaged the South Dakota Prevention Framework and design thinking principles. Framing decisions with the member experience in mind, PATH collaborated with SOSD HR leaders to:
Navigate the COVID crisis.
Select a new medical/pharmacy carrier.
Analyze performance of the carrier’s pilot case management solution.
Engage and oversee a new well-being partner.
Implement and track performance of new diabetes, prediabetes, and musculoskeletal solutions.
Convene a vendor summit with carrier/vendor/SOSD partners.
Design a digital resource to facilitate vendor awareness of the SOSD benefits ecosystem.
Launch a new preventive care incentive, eliminating biometric processes.
Expand analysis to “SOSD by Department” offering actionable department insights.
Design department specific dashboards for SOSD wellness champions.
Launch SOSD-wide expansion of the wellness champion network.
Introduce health equity reporting and county health trend reporting.
This session will include how we used data and lessons learned along the way.
Learning Objectives
After completing this session, participants will be able to:
1. Describe how to engage design thinking tools to help organizations introduce the perspective of the benefit user in strategic design.
2. Discuss how conducting data analyses by subgroup informs tailored member communications and relevant benefit design.
3. Demonstrate how to design cohort studies to agnostically assess the performance of vendors performing case management or working with members with chronic illness (diabetes, prediabetes, musculoskeletal pain). 1 ADV CECH Available