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Health Plan Consulting

Looking to Reduce Employee Health Care Costs & Strengthen Network Alignment?

After trying to absorb most health plan costs as a result of hiring and retention issues, many employers attack the root causes of rising rates with sustained, systemic changes. With the growing epidemic of poor health and payment reform’s uncertain overall effect, many employers are looking at both short- and long-term strategies to manage costs. BKD can leverage member experience data from the previous 24-month period to analyze potential cost savings opportunities and efficiencies for self-funded health plans.

BKD healthcare planning consultants offer organizations a scaled approach to managing employee health costs and improving network strength.

Health Insurance Opportunity Assessment  

BKD will obtain member experience data over the latest 24-month period and provide an analysis of potential cost savings opportunities and efficiencies in the following areas:

  • Provider network utilization
  • Member cost and utilization data, including outlier cases
  • Pharmacy spend
  • Administrative costs
  • Plan benefit design
  • Stop-loss arrangement

Health Plan Feasibility

Using the findings from the opportunity assessment, BKD will help implement the opportunities identified, including changes in third-party administrators. Our assistance includes:

  • Pro-forma analysis of existing plan compared to proposed plan
  • Network development
  • Plan benefit changes
  • Creation of transition plan and implementation schedule
  • Development of monthly claims process monitoring, including assistance identifying areas for care management and intervention
  • Implementation of a visualization tool to monitor spending and utilization trends

Large Employer Marketing

BKD will help design a marketing strategy to approach target employer groups with similar strategies, tools and support to use with their own employee health plan. Our assistance includes:

  • All procedures listed in the opportunity assessment for select target groups
  • Participation in face-to-face meetings with target groups
  • Development of customized monitoring tools

How can we help you?

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Locations

We have 40 offices in 18 states, with trusted advisors who offer solutions for clients across the country.

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