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CB I Z Re s pon s e │ Pa g e 36

Sample Cost Containment

We also present trends and innovations with direct interaction to our clients during our strategic planning sessions.

We outline trends and next practices and then prioritize with VNAC whether those are immediate or future

implementation considerations. Please refer to Exhibit I for Sample Best Practices for Innovations and

Considerations.

We are consistently researching the next innovations and solutions in employee benefits to stay ahead of the curve.

With these values in mind, we believe in researching and testing solutions. The following is a brief list of trending

cost containment strategies for an organization such as VNAC to consider:

Risk Management

CBIZ proprietary Wellbeing Solutions is a tool used to evolve from wellness to wellbeing while leveraging the

resources of current systems and processes

Evaluating Network Performance related high performance or narrow networks

Financial wellbeing resources integrating health and retirement benefits in a communication and education

strategy to optimize employee engagement

Utilization

Patient Center Medical Home adoption and copy differentials

to drive behavior

Alternate support settings, onsite clinics optimization and

telemedicine as tools to lower utilization cost of health care

Transparency tools to lower cost and employee out of pocket

expense

Programs such as Dialysis carve out as tools to reduce

expense

Shared primary health clinics or options similar to BCBS

Spira clinics to ensure access to primary care for your

members.

Funding

Well-designed self-funded plans as a tool to reduce plan

expense and minimize ACA fees and taxes, evaluate carve-out versus carve-in services

Data analytics tools to benchmark, identify and mitigate costly utilization patterns and evaluate self-funding

risk trends

Captive insurance arrangements

Pharmacy

Pharmacy management as a tool to eliminate redundancy of drugs, while managing at risk interactions

Pharmacy concierge programs to assist members and the plan in how to best manage their pharmacy costs.