Core Services

Controlling costs while delivering high quality – it takes a comprehensive approach that extends from detailed analyses of an employer’s benefits program, to employee education on health and wellness incentives.

 

Strategic Consulting
  • Understanding the culture and philosophy of your organization and its particular circumstances
  • Quantifying the benefits and costs of your current or intended program
  • Educating you on industry trends
  • Setting expectations and goals
Plan Analysis & Design
  • Utilization analysis for medical, dental and prescription drugs
  • Underwriting analysis of claims, reserve, premium and trend forecasting
  • Fully-insured vs. self-funded trade-offs analysis
  • Cost-benefit analysis of competing plan designs
  • Preliminary action plan
Marketplace Search & Recommendations
  • Preparation of requests for proposal based on your requirements
  • Review of provider responses, statistical analysis & recommendations
  • Selection of providers
  • Negotiation of performance guarantees
Plan Implementation & Communications
  • Health and welfare benefit plan marketing and design
  • Overall benefit plan coordination
  • Employer and employee contribution strategies
  • Management of open enrollment and employee communications 
Ongoing Account Management
  • Ongoing operations and support
  • Queries and service requests
  • Claims audits and analysis
Customized Reports
  • Financial reporting for budgeting purposes
  • Benchmarking and customized surveys
  • Plan design modeling
  • Claims underwriting
Annual Review
  • Analysis of financial projections from carriers
  • Annual report addressing utilization, benchmarking evaluations, program modifications, cost-sharing and renewal recommendations