The three-year period measured above is based on implementation date and reviewing experience from 2013 through 2017. You can completely replace member services with awesome plan advocates and nurses called Care Coordinators. They provide navigation, advocacy and clinical support to your people.
They steer them through the traditional parts of the plan and also the modern point solutions that greatly enhance the member experience while significantly lowering claims cost.Optional mode of payment to provider that produces savings of 30% to plan, allows plan member to share in savings. It's an industry secret, but your carrier receives about $20K per year per 100 employees in pharma rebates.
They steer them through the traditional parts of the plan and also the modern point solutions that greatly enhance the member experience while significantly lowering claims cost.Optional mode of payment to provider that produces savings of 30% to plan, allows plan member to share in savings. It's an industry secret, but your carrier receives about $20K per year per 100 employees in pharma rebates.
Services
We are employee benefit consultants. We provide unique self-funded health plans to employers desiring the most innovative and effective approaches. We do not accept the industry mind-set that we can merely show employers how to cope with a flawed employer healthcare system. We are helping to fix it.
Move beyond insurance plan member services and a separate plan advocacy/ concierge vendor to supplement it. Completely replace them both with Care Coordinators. Our Care Coordination approach is a single, dedicated pod of about 25 professionals screened for empathy, highly trained & using patented technology.
We define fixing employer healthcare as installing leading edge platforms that can lower cost while improving the member experience. A self-funded program gives you the power to do this. Because you own and control your health plan. Change to lower price insurance while keeping the rest of your plan, (Network, administrator, pharmacy plan, etc.)
Cash Pay Pricing allows the employer to keep his PPO network. But, give plan members and medical providers an optional payment method for scheduled procedures. The plan member receives an exciting offer: share in the savings! The employer gets large savings, typically 25-50% reduced cost for the claim.
Toyota and Motorola popularized Six Sigma or "lean production" methods. In short, "lean" means an all-out quest for efficiently delivering the highest quality outcome. We are now seeing the first wave of hospitals embracing this modality. The results being far higher quality outcomes while also achieving significantly lower costs.
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