Pike

32 / 78

Bending the Trend Line
Phase I
 Plan Design
 Deductibles
 Co-pays
 Co-Insurance
 Funding
Phase II
 Consumer Driven Health Plans
 Network Efficacy Analysis
 Refine Contribution Strategy
 PBM Carve Out
 Wellness
Phase III
 ACO – Accountable Care Organization
 PBC – Performance Based Contracting
 PCMH - Patient Centered Medical Homes
 Reference Based Pricing
 Tiered Networks
 Centers of Excellence
 Disease Management and Enhanced Managed Care Protocols
 Specialty Rx Carve Out
 Wellness
Phase IV
 New Front Door & Technology, e.g. on-site Medical Clinics
 Teledoc
 Retail Care Centers (Walmart, Walgreens, etc.)
 Mobile Applications
 One Rx
 Wellbeing
 Wellness