Challenge:
1,000+ employee construction company in multiple states. They historically viewed health insurance as a commodity, with no ability to control costs. Provider network discounts were poor and a lack of integration was creating problems.
Solution:
Completed a provider network analysis that revealed significant savings. Moved their self-funded plan to an integrated, modern solution with better network discounts.
Impact:
Evolved over time to more than 70% of participants in high performance networks yielding additional savings. No reduction in benefits for 10+ years. Per Employee Per Year (PEPY) costs are 4% lower in 2021 than they were in 2014. $6.8 million total plan savings. Families today contribute only $195 per month for a $500 deductible copay plan. Added EAP, FSA, worksite benefits. Included bilingual one-on-one enrollment services for OE and new hires. In 2021, the company introduced a health advocacy/care coordination team to proactively assist all members. 100% of the employees agreed to participate.
