ISPI LA Business Impact Calculator

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Shared by: ocak
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WLP Business Impact Calculator Is it worth doing? 1. Better claims quality/decreased overpayments Variable # clms ovrpd pwk # of associates Assumption 48 weeks per year 48 Total Annual Business Impact $0 $ average overpay 2. Increase claims productivity Variable # FTEs impacted increase in # claims prhr Assumptions # hours per year 1,920 Total Annual Business Impact cost per claim $4 $ - 3. Increase calls answered or decrease average handle time Variable # FTEs impacted change in sec per call Assumptions # weeks per year 48 Total Annual Business Impact cost per call $6 $ - 4. Improve single call resolution (reduce repeat calls) Variable # FTEs impacted decrease in # calls prhr Assumptions # hours per year 1,920 Total Annual Business Impact cost per call $6 $ - 5. Decrease penalties and performance guarantees. Variable Assumption $ saved per penalty ave # penlts/grts per year 1,200 6. Decrease in associate ramp-up time Variable # FTEs impacted decrease ramp-up time wk Total Business Impact $ - Assumptions Annual Business Impact Total $ per associate week $1,000 $ - 7. Cost avoidance for litigation/legal exposure Variable Assumption # cases per year ave $ per litigtn/settlemnt Total Business Impact $15,000 8. Decrease associate turnover - Non-Exempt Variable Assumption # decrease turnover ave $ per turnover $25,000 9. Decrease associate turnover - Exempt Variable Assumption # decrease turnover ave $ per turnover $50,000 $ - Total Business Impact $ - Total Business Impact $ $0 - TOTAL BUSINESS IMPACT Intervention Cost Calculator Analysis Design Develop Implement Measure Impact Variables Assumptions # Hrs Completion $ Intervention cost per hour $50 $50 $50 $50 $50 Grand Total Cost Total Cost $ $ $ $ $ $0 WLP SVA Calculator Total Business Impact Total Cost SVA % #DIV/0! Legend: Variable Input Fixed Input Calculated Formula Other Assumptions Total WellPoint Associates = 42,000 Average Claims Processed Per Day = 120 Total WellPoint CCAs = 14,800 Total WellPoint Claims Processors = 8,000 Benefits as % of Salary = 30% CCA Calls Handled Per Day = 60 Average Turnover Cost = $25,000 for Non-Exempt and $50,000 for Non-Exempt Average Cost Per CCA/Claims Processor = $25 per hour with benefits Average Cost Per Intervention Hour = $50 per hour

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