A Winning Combo
Prosperity Benefits is a next-generation agency and is purposefully designed to be innovative, creative, nimble, and impactful for our partner clients. The best thing your Benefits Consultant of choice can deliver to you is a quality result, and it may be no surprise to learn that the size of the agency has little to do with this. This said, we partner with best-in-class solutions vendors to bring you the best the market has to offer.
Let’s tackle your benefits spending problem with new thinking. Some phrases that shut down the mind to solutions or positive improvement:
Self-funding is risky.
We already have a broker.
We’ve always done it this way.
Change is hard.
Someone else handles benefits purchasing for us. (There is a tremendous diffusion of responsibility in this area!)
Our broker shops.
Underwriting
Direct, MGU, Captives
We expertly quantify and subsequently manage the risk of your population. Spreadsheets do nothing of this sort, which is why so much of our conversation has to center around underwriting and non-insurance initiatives and solutions to help bend your cost curve flat or downward. We work with a number of managing general underwriters, captives, and independent health plans to survey the market on your behalf and quantify your risk.
Strategy
3 - 5 Year Plan
Do you have one? You should! The lowest cost option one year isn’t necessarily the best long-term solution. Knowing your numbers and underlying risk drivers is the first step in the process towards a stable and cost-optimized health plan. You decide how aggressive you’d like to be and there is a direct impact on your claims as a result of that decision. Savings of 20 to 40% are possible with the right combination of solutions.
think about this
How’s Your Supply Chain Running?
In every area of your business, you scrutinize where you procure your goods or services and then sensibly structure your business to be profitable and sustainable. When it comes to your worker’s compensation, don’t you have a program in place to manage your risk? When it comes to group medical, the expense is multiples higher, and yet most companies simply ignore their high risk population or assume they are getting optimal care and treatment. This is fundamentally wrong. We help you engage and manage this population because it has a direct impact on your claims risk and the money you pay for your health plan.
the way it used to be
Direct Primary Care
Having a direct primary care physician care for your staff has benefits that multiply over time. As a Health Rosetta Advisor, we have the knowledge to incorporate this important plan feature into your benefits plan. What is better than a low copay? ZERO copay! Your physician partners can help navigate your staff to the best centers to treat your population and act as a hub working in concert with your staff and mission to control health and ultimately, your costs. Capitated primary care works, and you can add this as a no-cost option to your staff.
not so hidden elephant
Pharmacy Solutions
Having a national network of peers and access to some of the most forward-thinking leaders in the health and welfare universe helped us to identify the right pharmacy benefit managers and consultants available. When your staff attempt to fill a costly prescription, our pharmacy benefits consultants reach out to your members to give them options like copay assistance, manufacturer coupons, therapeutic equivalents, and even international sourcing. Members save, and your plan saves.
CAre continuum
6% Who Spend 80% of Claims
It is critically important to identify your high-risk members and to control. them as much as is possible, so we incorporate analytics and case management into our programs with a plan-integrated approach. Proactive measures help to reduce your claims and best care for your staff. We can deliver Wal-Mart’s pricing for your high dollar claim procedures and specialty care. This matters for your health plan! If a large organization with over a million covered lives with a very small profit margin proves that Centers of Excellence save health plan dollars, then you should too.