Alternate Funding Mechanisms have been around for decades. The Level Funded Premium option is the most popular with fully insured groups. In-Network Medical claims still account for the majority of the overall claim spend and is the most prominent area where costs are controlled. However, members do have the choice of going outside the network for care. Should this occur we have a creative approach to help minimize the out-of-network hospital charges.
The rising cost of Brand and Specialty Drugs continue to have a huge impact on your bottom line. The days of just implementing mandatory mail order and step therapy is not enough. We have the ability to save our clients, on average, over 50% on Brand and Specialty Drugs. Our program uses a zero dollar copay which enables members to adhere to their medication thus driving the potential for hospitalization claims downward.