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
Condition (Disease) Management
Wellness
Phase III
ACO – Accountable Care Organization
PBC – Performance Based Contracting
PCMH - Patient Centered Medical Homes
Reference Based Pricing
Tiered Networks
Centers of Excellence
Specialty Rx Carve Out
Enhance Wellness (Wellbeing)
Phase IV
Population Health Management
New Front Door & Technology:
Telemedicine
On-site Medical Clinic
Retail Care Centers
Mobile Applications, e.g.
One Rx
Wellbeing