Bowers & Associates to Evaluate Disease Management Programs for Wisconsin’s High-Risk Insurance Plan

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<p><strong>Franklin, Wis.</strong><br />Bowers & Associates Inc., a national health management firm based in Franklin, announced it has been awarded a contract to assist the Wisconsin Health Insurance Risk Sharing Plan (HIRSP) Authority with initial evaluation of HIRSP&rsquo;s disease management programs. HIRSP is a program that provides health insurance coverage to Wisconsin residents who are unable to find adequate private coverage due to their medical conditions or who have lost their employer-sponsored group health insurance. <br /><br />Bowers&rsquo; Analytics division will help the HIRSP Authority evaluate clinical patterns for people with chronic conditions, such as diabetes, heart disease and heart failure. Bowers&rsquo; analysis and benchmarking tools will give HIRSP complete and accurate data about its programs, members, claims and usage, delivering actionable information that can help HIRSP better meet the needs of its policyholders. <br /><br />&ldquo;We believe the results of our evaluation will provide HIRSP with a great starting point to determine which type of coordinated care program fits best with this unique population,&rdquo; said Scott Weltz, senior vice president of analytics and tools. &ldquo;Disease management programs are not a one-size-fits-all, so it is critical to understand the true underlying clinical needs of HIRSP policyholders before investing in this area.&rdquo;<br /><br />HIRSP policyholders tend to have more complex medical needs than most insured individuals, stressing the need for providers, policyholders and insurers to work collaboratively to maximize efficiency and cost effectiveness. <br /><br />&ldquo;We are very excited to work with Bowers on this project, which we believe will address the needs of HIRSP and support our mission of providing high-quality, affordable health care to our policyholders,&rdquo; said Amie Goldman, CEO of HIRSP Authority.<br /><br />Bowers presented initial results of its evaluation to the HIRSP Authority board in late January and additional work is expected as different alternatives are evaluated. </p>

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