ASSESSMENT, DIAGNOSIS, TREATMENT.
MLR’s, PPO’s, PBM’s, TPA’s, HSA’s…
What are you really paying for and who are you paying to deliver these vague acronyms to your workforce?
Superfluous programs cost money and continue to provide neutral or negative value.
Poor analytics, mismanagement of disease burden, and the systemic perverse incentives are all contributing to your excessive healthcare costs.
How much of your healthcare spend is going toward paying someone a commission? Often we are left blissfully unaware of the excess money going out the door that isn’t contributing toward your plan or the care being delivered to your members. We’ll show you where the commissions are coming from and how their commissions increase when your health plan costs do!
How does your plan design incentivize better healthcare decision making? We’ll take a look at your plan structure, covered benefits, and your pre-certification processes as well as the payroll contributions and out of pocket costs your members are responsible for and show you where the value is being provided and where it might be lacking.
Have you ever really looked at where your health care budget is being spent? A lot of employers attribute their rising costs to health insurance premiums but it’s the healthcare your money is being spent on! The increase in your claims spend directly contributes to the increase in your premiums and your employees contributions. Our claims analysis will show you where the highest quality healthcare is being delivered and the proven trend that employees who seek care in higher quality environments actually cost your plan less.
How does your benefit offering stack against your competitive market? We’ll show you how to build a benefit platform to attract and retain the talent you need in your organization as well as identify the risks and financial projections for your future.
Wellness programs, company incentives, life insurance, disability income protection, HRA’s, biometrics – how are your supplemental coverages complementing your benefit portfolio? Let’s build a custom plan design that fits your employee culture more specifically than ever, while lowering your costs and increasing the quality and accessibility of care for everyone enrolled.