The Benefit Design Modeler allows you to Forecast the cost and utilization impact of changes in current health plan designs, and Model the likely cost and utilization pattern of new health plan designs.
The benefit design modeler allows you to:
a) Forecast the cost and utilization impact of changes in current health plan designs, and
b) Model the likely cost and utilization pattern of new health plan designs.
These models may incorporate demand-side assumptions about the shift of employee enrollment across benefit plans. To support these capabilities, users may choose from a number of forecasting / rating methodologies:
To support manual rating and blended rating, the CKM system incorporates standard actuarial approaches to medical and prescription drug cost trend rates, to area adjustment factors (3 digit zip or SMSA), stop loss options, and so on.
The CKM system is able to import details of plan design such as tier structures, benefit coverages, network offerings, and exclusions/limitations from computerized procurement systems. By importing rather than entering plan design details, the user may focus upon elements of change rather than documentation of existing provisions.
There are many benefits in use of the BDM modeling program.