Plan Design Changes

• Non-Linear Employee Contributions
• Pre-Authorization for Certain Procedures
• Second Opinion Requirements from Identified Centers of Excellence
• Tie Dialysis Treatments to Medicare
• Incentive In-Home Dialysis
• Step Therapy for Hepatitis C Drugs/Super Statins
• Transplant Carve Out
• Stop Loss Carve Out
• Health Benefits Captives

Patient Advocacy

• Centers of Excellence
• Managing the Person vs. Managing the Claim
• Coordinated Case Management

Employee Wellness Strategies

• Health Risk Assessment
• Biometric Screenings
• Tobacco Cessation Programs
• Customized Wellness Plan
• COBRA Advocacy

High-Performance Networks

• Metro Care Program
• Direct Provider Contracting
• Reference-Based Pricing
• West MI Partners
• Southeast MI Partners
• Physicians Choice PPO

Rx Savings Programs

• Pharmacy Tourism
• Manufacturer Drug Coupon Program Programs
• Foundations
• Rx Carve Outs
• Diabetic Population Management
• Diabetic Testing Supplies
• Generic Steerage

Transparency

• Cost Estimator
• Rewards Program
• Decision/Advice/Guidance Tools
• Customized Benefit Mobile App

Primary Care

• Telemedicine Programs
• Urgent Care Clinics
• Shared Employer Clinics
• Direct Primary Care Programs
• Onsite Clinics

Fully-Insured Strategies

• Advanced HRA & HSA Concepts
• High-Performance & Narrow Networks
• Contribution Analysis