Health & Wellness Programs

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Health & Wellness Programs

Innovative Solutions That Provide Enhanced Care

Benefit costs can no longer be successfully managed simply by raising employee contributions, changing the plan design, or changing vendors. These traditional strategies need to be expanded to include more advanced, inter-connected approaches such as focusing on the higher cost population, maintaining a healthy workforce, and encouraging changes in employee behavior. Achieving these objectives requires establishing a series of short-term, mid-term, long-term goals and benchmarks, which will also change over time.

Our suite of innovative employee health and wellness programs address the full continuum of emotional and physical issues of an employee to improve individual health and wellness. This holistic approach ensures each employee has the tools and resources necessary to achieve their personal health and wellness goals, and is an integral part of our core service offering.

We consult with our clients on many of the following:

  • Designing comprehensive wellness programs that change participant behaviors affecting their health.
  • Implementing consumer healthcare arrangements that fully engage employees and their family members in managing their health, evaluating and choosing treatment plans, and helping to manage the financing of health care.
  • Modifying plan designs so that employees are rewarded through either a reduction in employee contributions or an improvement in benefits if they adopt certain behaviors (e.g. enrollment in a weight loss clinic, participation in care management programs).

Redefinition of the medical expenses that are covered by the plan and the extent to which they are covered. The increasing prevalence of a “lifestyle” drug tier with higher employee cost sharing is an example of this type of initiative. Similar discussions are being conducted about a “lifestyle” medical tier with lower (or perhaps no) plan benefits. We would plan to develop a set of principles and potential health care expenses to be included in a redefinition of medical necessity.

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Case Studies

Employee Benefits in the Non-Profit World

Learn how we helped one of our nonprofit clients save $120,000 on healthcare coverage for their employees while expanding coverage options.

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