We are confident that we can save you money on your Self-Insured Medical Plan. If we can’t, we will contribute $500 to your favorite charity in your name.
We employ a seven step strategy that is guaranteed to save your firm money.
1 Analysis of plan design to include:
- Review of eligibility, enrollment, provisions, cost containment, benefit levels, and more.
2 Analysis of present PPO’s
- Are they the best for your employee population?
- Are others more cost effective?
- Is their pricing the best, or most effective for you?
- Compare to known quality PPO’s.
3 Analysis of present Claim Adjudication
- Analyze price, service, product, integration services
- Cobra Administration – is it your best buy?
- Analyze effectiveness of claim system and its variables to include internal auditing features
- Compare to known quality TPA’s
4 Analysis of Rx Vendor
- Most companies will benefit from instituting our proprietary PBM. We will do a cost comparison between your present plan and ours to demonstrate the savings.
5 Analysis of Stop Loss Program to include:
- Appropriatness of coverage levels
- Deductibles
- Cost containment
- Pricing
6 Review of appropriate Ancillary Specialty Coverage
- Value added products
- Cost containment
7 Recruiting and Retaining Effectiveness
Does your present medical plan support recruiting and retaining your employees or is it viewed as a neutral, or negative offering? We will review applicable data, turnover, and contribution
levels and make recommendations to improve the effectiveness of your plan.
We review any value added products such as work and family benefits. Typically we offer Health Advocate as a value added
service. Assuming we are selected as your broker for your benefit plan; we would offer this product COST FREE. Check out their website at: www.healthadvocate.com
- 350 employees in the self-insurance medical plan.
- Full access to all needed information including all plan information, costing, and claim information as required.
- Sufficient time to do a review and prepare our recommendations.
- Authorization to contact all appropriate vendors.
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