Latest Actuarial Review Validates Significant Savings For Quantum Health Clients

Thursday, November 9, 2017 General News
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COLUMBUS, Ohio, Nov. 9, 2017 /PRNewswire/ -- Quantum Health, today releases third-party validation of its results, conducted

by Milliman, one of the largest actuarial firms in the world. This marks the ninth consecutive year the company has submitted results from its book of business for independent actuarial review.

Milliman analyzed annual claims and membership

for 118 Quantum Health clients comprising over 400,000 members between the years 2001 and 2016. Each year's book of business trend is compared to industry trend benchmarks to determine Quantum Health's impact. The book of business trend is the member-weighted average across all clients, after adjusting for changes in plan design, population demographics, plan migration and provider network. 

In their actuarial opinion letter, Milliman validated an average cost reduction of 5.0% from the market trends for Quantum Health clients in the initial year. Over the first 3 years, with Quantum Health, clients realized a cumulative average savings of 12.5%, with an average Compound Annual Growth Rate CAGR of 1.9%, compared to the industry average of 6.5% for the same time period.

In addition to analyzing historical groups from 2001 to 2016, Milliman analyzed claims data for Quantum Health clients implemented between 2012 and 2016. They concluded that although there have been significant changes in healthcare benefit plan designs and delivery over the past 16 years, and market cost trends are much lower than in the past, Quantum Health clients experienced the same magnitude of financial results, with a -0.4% trend in year 1, and a much flatter 3-year trend, resulting in 11.9% savings through the third year, when compared to an industry average trend benchmark based on published trend results from AonHewitt, Mercer, S&P, Segal and WillisTowersWatson.

The two analyses suggest that the results Quantum Health has achieved are sustainable, repeatable and consistent across industries, benefit plan structures and demographics year after year. 

"Submitting our results for actuarial review annually enables us to verify our ongoing effectiveness at creating a meaningful shift in cost," says Founder and CEO Kara Trott

She attributes the company's long run of success to a deep understanding of the consumer's healthcare journey. "We applied principles of consumer research in retail, consumer goods and service industries to develop our model and have continuously optimized what we do based on nearly two decades of experience guiding our members and assisting their providers through the healthcare journey. It is our close connection to consumers and their providers that enables us to not only reduce cost but also deliver an exceptional healthcare experience that consistently earns Net Promoter Scores well above the industry average." 

Net Promoter Score measures consumers' overall satisfaction and willingness to recommend a company's products or services. Quantum Health currently has a member Net Promoter Score of 73, which is above some of America's best-loved consumer brands and is approximately 55 points higher than the healthcare insurance industry average.

The Milliman study points to additional reasons for the company's effectiveness in reducing cost trend. Engagement with members and their providers earlier and more often is critical. Overall, Quantum Health demonstrated engagement with 61% of the entire population, 95% of people with claims over $10,000 and 98% of people with claims exceeding $50,000. Provider interaction and collaboration is vital in driving cost savings—nearly 50% of contacts regarding a member's care were with providers. Quantum Health reports engaging with members and their providers who had claims over $10,000 up to 60 days before their claims reached $1,000. Earlier engagement with members and providers through what the company calls Real-Time Intercept™ positively impacts the claims trajectory and improves overall member experience.

The data indicated significant pre-post changes in utilization across the entire population, such as a reduction of inpatient admissions of 4.8% and a reduction of inpatient days by 12.5% in year one and 8.9% and 14.5% by year two, respectively. Primary care visits and the percentage of members utilizing preventive care services increased by 7.1% and 14.2% respectively.   

Quantum Health Chief Operating Officer Shannon Skaggs says the company is very pleased with the results. "Even with our rapid growth, our approach to navigation continues to deliver a consistent, validated financial impact. Every year, we look at these reviews to evaluate the performance of our structures, systems and capabilities, and then hardwire the most effective into our culture as we continue to grow."


Quantum Health is an award-winning consumer healthcare navigation company that delivers an unparalleled consumer experience based on empathy and trust, enabling employers to achieve industry-leading satisfaction rates and independently validated claim savings. Launched in 1999, Quantum Health's model is based on years of consumer research and the insights learned from guiding millions of consumers and their providers through their healthcare journey. Based in Columbus, Ohio, Quantum Health has earned numerous awards and honors, including being named Entrepreneur of the Year by Ernst and Young, Fastest-Growing Privately Held Company for the past 10 years by Inc. 5000; one of the 50 Fastest-Growing Women-Owned/Led Companies for the past four years by the Women Presidents' Organization; a Best Place to Work for the past 10 years by Columbus Business First; and a Great Place to Work® Best Small & Medium Workplaces by FORTUNE Magazine and Entrepreneur Magazine. Learn more at, and connect with us on Twitter (@QuantumHealth1), and LinkedIn (Company: Quantum Health).


Milliman is among the world's largest providers of actuarial and related products and services. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations. In addition to consulting actuaries, Milliman's body of professionals includes numerous other specialists, ranging from clinicians to economists.

Media Contact: Becky Sparhawk E: Becky.Sparhawk@quantum-health.comP: 614-846-4318 x1614


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