We Help You Gain Peace of Mind When Migrating From Traditional Medical Plans to Managed Risk Plans.
Schedule A Call Accountability • Consistency • Transparency
Access to Quality Care
Manage Claims Data
STOP Unpredictable Renewals
We work with CFOs, Business Owners and HR leaders who desire to regain control of their group medical plan and migrate to a managed risk plan for a more predictable medical renewal.
HR can experience lower out-of-pocket costs for their benefits program.
CFOs can grow net profit by 10 to 40% annually – based on the strategy chosen.
Owners can attract and retain talent while increasing productivity & profitability.
Traditional medical plans are like being stuck on a steam locomotive, expensive, outdated filled with hidden costs, and full of uncertainties.
You’ve poured sweat & tears into your business, it’s time you take control of the ride.
If you do nothing, you’re going to leave a lot of money on the table and be at the mercy of these traditional medical plans.
Access to the top doctors with the best patient outcome in every specialty. Transform your care journey into a faster, more effective path to health.
Know the what, why, and how of every cost, empowering you to optimize profitability and maintain command over your premiums.
Access up-to-date claim data to make informed choices, build effective healthcare strategies, and cater to your team’s needs in a more personal and efficient way.
Anticipate your medical renewals, budget accurately and plan strategically while preserving your benefits plan. Gain peace of mind with your medical renewals.
Example of companies that have learned how to manage their claims and experience predictable medical renewals.
from traditional medical plans to managed risk strategies
Turning complex healthcare into a growth pathway for your business.
Health insurance plans are frustrating!
Premiums rise year after year, along with deductibles, copays, and out-of-pocket maximums.
In fact, medical premiums are expected to double within the next 7 years. That’s outrageous!
We’re so frustrated that we consistently searching for ways to beat the traditional (fully insured) group medical carriers.
That’s hard to do when the carriers are spending billions on lobbying efforts and posting record BILLION-dollar profits year after year.
Did you know the #1 reason people file bankruptcy is due to medical debt (46%) & the biggest surprise I learned was that 65% of them had health insurance.
Let’s save you unnecessary costs and guide you towards a transparent and more beneficial healthcare plan.
Reach out to learn more about your group medical plan alternatives.
Schedule A CallA managed risk plan — another term for a level-funded and self-insured plan — differs from a traditional medical plan because it offers more transparency in how your actual premium dollars are spent.
Traditional plans often keep key aspects like tax benefits, stop-loss insurance protection, savings
on administrative costs and large claims, and control over claim reserves hidden, not sharing their
true costs.
In contrast, managed risk plans provide transparency in these services with pricing, allowing for
more effective management of claims and costs.
Traditional plans lack transparency and decision-making data, are overly complex, and are financially unpredictable — costs rise year after year. It’s estimated that these plans are going to double in the next 7 years.
The prevailing attitude has been «It is what it is.» For the past 10 years,
CFOs have been told that change is not possible. Without even knowing if they are
on a fully insured plan, how can they transition to a managed risk plan?
Traditional medical plans lack transparency, preventing companies from effectively managing medical
expenses. As any CFO knows, if you can’t manage expenses, you can’t control costs.
Despite healthcare often being the second largest expense after payroll for many employers, it tends
to receive little scrutiny, in contrast to much smaller expenses that are closely monitored.
The Insight 360° Manged Risk Plan employs a multitude of strategies. These include managing
claim risks, lowering operating costs through smart plan designs, and provider networks & claim
audits.
We improve cash flow and offer potential for surplus retention. We also provide tax benefits,
stop-loss insurance protection, savings on administrative costs and large claims, and control over
claim reserves.
The Insight 360° Manged Risk Plan uses real-time claims-data access and effective risk management
to make accurate predictions about future renewals.
We design flexible plans concerning copays, deductibles, and steerage. Our strategy also includes
a long-term focus on health insurance premiums, promoting transparency, and access to quality
healthcare providers.
You can expect greater access to quality providers, increasing clarity and transparency on your
claims data which allows predictable medical renewals.
The plan also ensures faster claim resolution, offers customized reporting, and helps craft
a competitive benefits package.
It gives you flexibility in plan design and enables better employee engagement. It offers
independence from traditional fully-insured carriers and reduces carrier profit margins.
By adopting the Insight 360° Manged Risk Plan, we eliminate a layer of the
traditional medical carriers, which in turn reduces carrier profit margins.
This means more of your money is spent directly on employee healthcare and not
on padding the pockets of third-party insurers.
*Refer back to the carries profit graph
We use a third-party vendor that reviews, verifies, and confirms your medical claims are
in line with your procedure codes.
This ensures your employees receive the care they need without undue waiting, enhancing their experience and
satisfaction.
It does involve a little extra work, about 2 hours a month, but that can save you 10-15% on your medical renewals.
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