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Health Benefits - Design and Management |
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Optimally, the design of your benefit
plan should attract and retain employees or plan members
while keeping your healthcare costs within reason. Associates
& Wilson can help you meet your goals by showing you
how different benefit designs will impact member behavior
and your bottom line. Your design should encourage desirable
behaviors (such as using network providers and generic medications)
and discourage undesirable behaviors (such as routine care
from specialists or emergency rooms, or unproven off-label
use of medications). Yet too often designs and changes to
designs don’t take into account the trickle down effect
and overall impact to the plan. What seems like an inconsequential
change can cost the employer or health plan big money or
result in poor care for the member. Associates & Wilson
can help you identify your goals and then ensure your plan
design will produce the desired results.
Once your basic plan design has been established,
Associates & Wilson can then help you manage your company’s
health benefits by analyzing your data for system inefficiency
or problems. For instance, we helped a company determine
that a certain medication was causing dangerous slips and
falls in seniors. Using their data, we convinced the majority
of the retirees to switch to a safer, equally effective
therapy thus saving them from unnecessary pain and suffering.
We welcome the opportunity to do similar projects for your
company.
Adjusting your plan design to adapt to
the ever changing healthcare market and the needs of your
members is critical to both participant health and your
bottom line. Associates & Wilson has the tools and know-how
to help you succeed.
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