Relative Resource Use Measures

RRU measures indicate how intensively health plans use resources (e.g., hospital stays and physician visits) to care for members, compared with plans in the same region that serve similar populations.

Because RRU enables insightful discussions about quality, value and the return on purchasers’ health care investment, it is extremely helpful in selecting vendors and managing their performance.

Features

  1. Risk Adjusted: Age and gender; disease severity; presence of comorbidity; exclusion of other dominant conditions and related interactions.
  2. Standard Unit Pricing: Allows comparison of plan efficiency without confounding by negotiated prices.
  3. Considers High-Cost Conditions: Diabetes, COPD, asthma, cardiovascular conditions and uncomplicated hypertension—these account for more than half of health care spending in typical employee populations. (Note: Health plans with eligible populations <400 are not included.)

By increasing transparency, RRU measures allow purchasers and consumers to make better-informed decisions.

Learn more about RRU.