FROM THE LAB
Synthetic cases across cost, plan design, vendor strategy, and member experience—with assumptions and tradeoffs shown.
ISSUE 01 COMPANION
Synthetic example—not a benchmark, forecast, client result, or real group.
LAB NOTE 01
The common belief: the renewal percentage tells you whether the plan performed well.
It does not. The total blends market pressure, utilization, volatility, and contract terms. Each calls for a different move.
Baseline pressure
What would have changed before this group's experience?
Utilization pattern
Did volume or mix move?
Claim volatility
Which part is signal and which part is noise?
Contract & loads
What did the carrier price around the claims?
What changed before this group's experience?
Which driver is recurring?
Which driver can we actually influence?
What did the carrier assume?
What would make us change the recommendation?
Decomposition does not predict future claims. It tells you which assumptions and terms deserve another look.
If a benefits decision does not add up, let's work the problem.
Bring me a decision