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Health Plan Strategy

It’s a Health Plan, Not a Health Guess.
How do you sort, analyze and score which health plan design(s) to offer your employees? There is an optimized way to build a health plan strategy that gives your employees and their families the best healthcare for their specific needs (your income statement will benefit also).

We have the experience that knows the best healthcare supply chain to deliver results.

Health Plan Strategies That Deliver

With our creative (and legal) health plan design strategies, we’ve saved our clients millions of premium dollars and we can do the same for your business!

How Data Controls Your Health Plan Strategy

It’s customary to call a health insurance policy a ‘health plan’, but many employers do not have the luxury of planning because they lack the claims information needed to plan. Before you can use your claims information as a strategic asset, you must first acquire it. Even if you think you are getting your data, many companies are not getting a level of claims detail that is actionable.

Our advisory services are for employers that are interested in the positive attributes of change that having your healthcare claims data will provide not only your company, but your employees, their family members and ultimately your community. When your company saves money with using their claims data to optimize the structure and management of your health plan, the money saved can be better spent on increased wages, lower employee health insurance contributions or business expansion—all changes that will positively impact your community. We believe the journey to better your company and positively impact your community starts with obtaining the right healthcare claims data.

Having access to your claims data is the difference between controlling your expense or continuing to be subject to the health insurance premium increases that the current system dictates—and from 1999 – 2021, the system has dictated single and family premium increases of 252% and 284%, respectively (KFF Employer Health Benefits Survey, 2021). How do you take back control of an expense that, in any other category on the income statement, would undergo much scrutiny, oversight and strategic planning? Know the frequency and occurrence of claims on a level of detail that allows you to manage this expense category that ranks # 2 or # 3 on your income statement.

Whether your company’s health plan is fully insured or self-funded, your claims data is pivotal as it will ultimately determine your ability to guide the various ways you can control your overall healthcare spend. In other words, be in control or be controlled.

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