We believe that there is an enormous gap between what business leaders know about the healthcare industry and what they need to know. Our mission is to bring that information asymmetry into balance.

The healthcare industry employs consulting firms like Deloitte, McKinsey, and Optum among many others.  Their primary role is to maximize revenue from employer-sponsored health plans. To counteract these consultants, most business leaders are using insurance sales organizations. Clearly business and organizational leaders need more!

Our newsletter is designed to make your company more profitable and more productive by pulling back the curtain of the healthcare industry and guiding you on a path forward.

Remember your annual increase is someone else’s profit!

Pharmacy Spend Consultation:

A typical health plan is ill-equipped to address the rising costs of prescription drugs. In 2005 the average health plan spent 13% on prescription drugs. In 2023 that jumped to 22% and all indications show that pharmacy costs will continue to rise. These factors are a driving force in your annual rate increases. However, there are solutions that can have a significant effect on your bottom line without impacting the employee experience or drug availability.

Benefits:

Do your employees know the difference between an EOB and a bill? Do they understand  “coinsurance?” According to SHRM, 63% of employees wish their employer would do more to help them understand their benefits.

Benefits communication requires effective, consistent, ongoing communication that is relevant to your employees’ problems. We find that without effective employee benefits communication the investment that you are making to recruit and retain can turn into something that is resented.

Change Management:

Whether you are changing carriers or your entire strategy, changing a health plan is difficult. By combining resources and expertise with a deep understanding of the problems of the marketplace, we can help ensure that your team stays on track and that the change is efficient and well executed.

DEI:

People of color, recent immigrants, and LGBTQIA+  employees have their own unique challenges surrounding our healthcare system. These challenges often lead to confusion, reduced employee satisfaction, and poor health outcomes. Having a system in place that can help with these issues is an initiative that can pay huge dividends in the long term. Let’s have a conversation about how we can help.

Direct Contracting:

Forward-thinking companies around the country are working directly with providers and eliminating the middlemen in healthcare. Doing so leads to tremendous efficiency gains, improves the quality of care, and saves the company money.

Unfortunately, the healthcare status quo makes this process cumbersome. Successful contracting creates win-win-win scenarios for the provider, the employer, and the employees. Let’s talk about how we can help you achieve this favorable solution.

RFP Assistance:

Designing and executing a successful RFP can be one of the most important yet difficult processes that your organization faces. It is critically important you understand what questions to ask and be able to sift through what is real and impactful versus what is window dressing.  We can help you not only shape the RFP, but evaluate the participants based on your goals and objectives, to ensure that the RFP is successful.

Compliance:

Employers face a bigger compliance burden now than at any time in our history. Between rap docs, nondiscrimination testing, ACA compliance, FMLA, and ERISA, keeping up with compliance regulations can keep employers up at night.  A comprehensive compliance audit will ensure that you sleep at night and are prepared when the regulators knock on your door.

Vendor Selection/Evaluation:

From payroll providers to PEOs, or 401(k) providers or financial assistance programs, leadership teams are bombarded with solutions and sales pitches. Our thorough evaluation process and our nationwide network will provide insights and guidance that will help you make the choices that are best for your long-term success.

Broker Services:

Are you tired of useless data, rate increases, and spreadsheets with quotes? Do you want more control over this line item? Do you feel like your current situation delivers the kind of ROI that you demand from the rest of your investments?

For many business and organizational leaders the status quo is simply unsustainable. Our unique business model ensures that we deliver the kind of ROI that you demand from consultants. We get paid for results, not just activity!