• Reference Based Pricing
  • Level Funding - Traditional - ASO Self-Insurance
  • Transparent Pharmacy
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EMPLOYERS SHOULD BE ANGRY!

Health Care Costs Are Spiraling Out Of Control! And There Is Nothing You Can Do About It.
NON-SENSE!


I. Obamacare/ACA, MLR (Medical Loss Ratio) forces fully Insured Companies to Increase Claims in Order to Increase Dividends and Profit. MEDICAL LOSS RATIO

II. Pharmacy Managers create a mark-up or spread between the price charged and the amount paid to pharmacies. These dollars become rebates that typically go to your insurance vendor or Administrator. DOUBLE DIPPING!

III. Reference Pricing (Established by Medicare) establishes a base price or true costs = 100%. Out of network costs are typically 1,000% of Medicare. PPO's are typically set at 400%. When your network provider or insurance company negotiates a lower settlement, something below 400%, who gets the difference? Not You! TRIPLE DIPPING!

IV. When your group claims are lower than your funding, who keeps those dollars? Not You! QUADRUPLE DIPPING!


These problems are not new and we assume your Broker explained these issues.

We solve all of these problems!

Talk to us today, we are your "Health Care Expense Reduction Experts!"

Contact Us

Level Funding

The most efficient, safe and effective approach to move from a Fully-Insured plan to a Self-Insured plan is with Level-Funding. A Level-Funded solution is still insured. There are many contractual and performance differences with Level-Funded Solutions. You must carefully vet your choices. We offer only the "Best of the Best." 

Click here to find out more!

Self-Insured

Self-Insured solutions provide the employer the opportunity to have the lowest healthcare cost. However, all plans are not created equal. Critical Cost Containment strategies have to be implemented, and again, they are not created equal. We vet all TPAs and Cost Containment Solutions assuring that you have the "Best of the Best."

Click here to find out more!

ASO

Administrative Services Only with superior Cost Containment Strategies. Reduce operational costs, increase engagement, meet ACA regulatory compliance, manage complex benefit plans from single source login, privacy mandates, manage payroll deduction & requirements & get ahead of Healthcare Reform Compliance! 

Check out the benefits here!

THE FUTURE OF HEALTHCARE BENEFIT DELIVERY

Real Strategy to Reduce the Number, Size and Frequency of Claims!

We Excel @ Administrative Technology, Cost Containment, Benefit Management & Risk Management 

 

           V365.448x155                   abdi clear                  LRC1249x374

 

V365 - Information Technology Management                       ABDI - Healthcare Compliance                               LRC - Behavior Management

 

GARnew                              DGPLogo New811noshadw                                  HIA logo

GAR - Best Online Brokerage                                        DGP - Health Information Systems                                 HIA - Healthcare Consulting Firm

 

  

THE END of "Healthcare Business as Usual!" 

Click here to learn about our Employer Strategies!

Veridence 365

Next generation products and services integrated in a high performance technology administrative platform and delivered in a high performance technology system. 

Click for more

Contact Us

Group Benefits Experts

3254 Montana Ave.
Cincinnati, OH 45211

513-661-7581

Scott@GroupBenefitsExperts.com