claims data analysis – Benefits Canada.com https://www.benefitscanada.com Canada's most influential pension and benefits publication for decision-makers Fri, 03 May 2024 21:03:19 +0000 en-US hourly 1 https://wordpress.org/?v=4.9.8 Diabetes medications remain leading drug category for eligible claims in 2023: report https://www.benefitscanada.com/benefits/health-benefits/diabetes-medications-remain-leading-drug-category-for-eligible-claims-in-2023-report/ Wed, 24 Apr 2024 13:00:23 +0000 https://www.benefitscanada.com/?p=154574 In 2023, diabetes medications remained the leading drug category for eligible private insurance claims for the second consecutive year, according to Telus Health’s annual drug trends report. The report, based on claims data from more than 15 million plan members in 2023, found the growing prevalence of diabetes, along with expanded heart failure treatment indications and […]

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]]> Top 5 HR, benefits, pension and investment stories of the week https://www.benefitscanada.com/news/bencan/top-5-hr-benefits-pension-and-investment-stories-of-the-week-67/ Fri, 05 Jan 2024 14:00:30 +0000 https://www.benefitscanada.com/?p=149898 A story about the B.C. Lottery Corp.’s new inclusive holiday program was the most-read story on BenefitsCanada.com this week. Here are the top five human resources, benefits, pension and investment stories of the past week. 1. BCLC allowing employees to swap statutory holidays for personal, cultural days of significance 2. My Take: Obesity should be treated like […]

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]]> 2023 Mental Health Summit: How First West Credit Union is supporting employee health, well-being https://www.benefitscanada.com/events/conference-coverage/2023-mental-health-summit-how-first-west-credit-union-is-supporting-employee-health-well-being/ Wed, 29 Nov 2023 12:53:13 +0000 https://www.benefitscanada.com/?p=147530 Data analysis, education and early intervention are the key components of First West Credit Union’s Live Well employee health program, according to Liz Bailey-Connor, the organization’s chief people and culture officer, speaking during a session at Benefits Canada’s 2023 Mental Health Summit. “We were hearing from employees that they felt overwhelmed and, in some cases, […]

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]]> A closer look at how chronic conditions are impacting benefits plans https://www.benefitscanada.com/archives_/benefits-canada-archive/a-closer-look-at-how-chronic-conditions-are-impacting-benefits-plans/ Fri, 13 Oct 2023 12:56:25 +0000 https://www.benefitscanada.com/?p=145031 In 2022, some of the top chronic conditions affecting group benefits plans were diabetes, obesity, depression and arthritis. Diabetes was the No. 1 ranked condition for drug claims in 2022, knocking rheumatoid arthritis down to the No. 2 spot, according to Telus Health’s annual drug plan trends report. And the 2023 Benefits Canada Healthcare Survey […]

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]]> AI tools helping insurers manage plan costs by weeding out instances of benefits fraud https://www.benefitscanada.com/benefits/health-benefits/ai-tools-helping-insurers-manage-plan-costs-by-weeding-out-instances-of-benefits-fraud/ Wed, 06 Sep 2023 13:00:31 +0000 https://www.benefitscanada.com/?p=142721 In 2022, Beneva Inc.’s fraud management department noticed unusual activity under a plan member’s account. The insurer’s artificial intelligence tool, used to analyze millions of benefits claims, flagged that a plan member and the person’s dependant had used up all their maximum coverages within a short period of time. When the plan coverage rolled over […]

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]]> Editorial: Deciphering the data https://www.benefitscanada.com/archives_/benefits-canada-archive/editorial-deciphering-the-data/ Fri, 11 Aug 2023 13:00:21 +0000 https://www.benefitscanada.com/?p=141632 I’m sitting down to write this on the hottest day so far in 2023. Environment Canada has issued a multi-day heat warning in my region — today, it’s 31 degrees Celsius but feels closer to 40, the humidity is 70 per cent, pressure is 101.3 kilopascal and the UV index is seven. This is the […]

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]]> ChatGPT a game-changer for benefits communication, but risks remain with full automation: expert https://www.benefitscanada.com/benefits/benefits-communication/chatgpt-a-game-changer-for-benefits-communication-but-risks-remain-with-full-automation-expert/ Fri, 11 Aug 2023 13:00:07 +0000 https://www.benefitscanada.com/?p=141767 While ChatGPT is helping benefits communications become more efficient, detailed and reliable, the risks may outweigh the rewards when it comes to full automation, says Tom Milne, a principal at Normandin Beaudry. The possibilities for generative artificial intelligence in the benefits space are infinite, he says, noting the algorithms are helping expedite the research and […]

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]]> 2023 Consultants Report: How are consultants helping plan sponsors make the most of their benefits, retirement data? https://www.benefitscanada.com/archives_/benefits-canada-archive/2023-consultants-report-how-are-consultants-helping-plan-sponsors-make-the-most-of-their-benefits-retirement-data/ Fri, 11 Aug 2023 12:56:49 +0000 https://www.benefitscanada.com/?p=141793 In 2022, Xero sent out a global survey to all of its employees asking them to rank the most important components of its total rewards program, from time off to flexible working policies, salaries to employee benefits. The software company’s Canadian employees ranked health benefits as one of the most important aspects of total rewards. […]

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]]> Specialty drugs accounting for smaller portion of total eligible claims amount: report https://www.benefitscanada.com/benefits/health-benefits/specialty-drugs-accounting-for-smaller-portion-of-total-eligible-claims-amount-report/ Wed, 14 Jun 2023 19:00:17 +0000 https://www.benefitscanada.com/?p=139815 Specialty drugs are accounting for a slightly smaller portion of the total eligible amount for all drug claims, declining from 33.6 per cent in 2021 to 33.1 per cent in 2022, according to Telus Health’s annual drug trends report. The report, based on claims data from more than 4.6 million plan members in 2022, found the […]

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]]> CLHIA working with insurers on suspected benefits fraud investigations https://www.benefitscanada.com/benefits/health-benefits/clhia-working-with-insurers-on-suspected-benefits-fraud-investigations/ Mon, 06 Mar 2023 14:00:36 +0000 https://www.benefitscanada.com/?p=134877 The Canadian Life and Health Insurance Association will now be working with participating insurers to collaborate on joint investigations into suspected benefits fraud schemes. This initiative builds on last year’s launch of a CLHIA-supported program that uses advanced artificial intelligence to identify fraudulent activity across a vast industry pool of claims data. “We’ve been working […]

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