Cost Containment Strategies

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

Employee Wellness Strategies

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

Rx Savings Programs

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

Primary Care

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

Patient Advocacy

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

High-Performance Networks

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

Transparency

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

Fully Insured Strategies

  • Advanced HRA & HSA Concepts
  • High-Performance & Narrow Networks
  • Contribution Analysis
Something went wrong.
Please provide your full name
Something went wrong.
Something went wrong.
Something went wrong.
Something went wrong.
Something went wrong.
Something went wrong.
Submitting form...

Thanks for submitting your request! A member of our team will be in touch with you shortly.

Employee Benefits

Innovative Benefit Solutions

Employee Support & Advocacy

Client Tools & Resources