EBD will be using Pathfinder PRO from SXC Health Solutions. This application enables a wide array of users to understand the impact of healthcare resource allocation and medical decision-making through the incorporation of risk prediction and episode profiling technologies. The application offers users a system for navigating through data to pinpoint variations in resource utilization and quality of care. The tool offers both a standardized library of reports and robust ad hoc query capabilities that are designed to provide flexible, easy access to complex information.
EBD's interest in Integrail services stems from former Arkansas Governor Mike Huckabee's 2004 Healthy Arkansas initiative that focused on improving the health of Arkansas residents. The program's goal is to turn around a state that perennially ranked as one of the unhealthiest in the country by getting its citizens to exercise more, watch their weight and quit smoking. EBD has encouraged State and Public School Employees to participate in this initiative with various incentives and programs targeted to promote healthy behaviors.
"The Integrail software application provides exactly what we have needed for so long, the ability to integrate our medical and pharmacy claims to get an accurate picture of utilization trends and the health of our membership," According to Sharon Dickerson, Executive Director, state of Arkansas Employee Benefits Division. "We are using the reports to assist our membership in providing them wellness services, high risk maternity screening and case management. The Integrail reports also identify who will be high cost utilizers in the future, thus allowing intervention before the high costs claims are incurred. Our health and pharmacy costs are about $500 million annually and this is an ideal way to help manage our program costs."
