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Average GEO Access
Aetna:
98.84%
Cigna:
98.92%
United Healthcare: 98.76%
Average Overall Network Discounts – Savings as % of Eligible Charges
Florida Blue:
58.7%
Aetna:
57.44%
Cigna:
54.87%
United Healthcare: 56.88%
Average Overall Disruption – Percent of Paid Claims Paid In-Network
BCBS:
97.04%
Aetna:
97.21%
Cigna:
95.24%
United Healthcare: 95.38%
All carriers have offered Performance Guarantees and other fees at risk.
Package Sales
Aetna
Dental & Medical package: Credit $0.25 PEPM - credit of $49,593 to medical
Life/Di & Medical Package: Credit $0.25 PEPM - credit of $49,593 to medical
All lines: Credit $0.50 PEPM – credit of $99,186 to medical
Statements of Fact
:
United Healthcare offers the most favorable fixed cost proposal with a projected reduction
in administrative fees of $7,163,393 over three-years. United Healthcare allows an
opportunity for additional annual fixed cost savings of approximately $1,778,612 in
outsourced (HealthFit / Health Advocate) and shared-savings fees. Finally, United
Healthcare provided a packaged Dental proposal with projected annual savings of
$1,096,743.
FloridaBlue provides the most financially advantageous overall PPO network through their
BCBS consortium network. The summarized results for FloridaBlue are provided:
•
Projected 2017 Paid Medical Claims of $136,307,185
•
Percent of Claims Paid In-Network of 97.04%
•
Savings as a Percent of Eligible Charges of 58.70%
•
More favorable Geo-Access results than the other carriers with exceptions where
United Healthcare has more favorable access.