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EXECUTIVE
SUMMARY
SCOPE OF SERVICES
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Consumerism
Advocacy/
Enrollment
Tools
Data Analytics
Administrative
Efficiencies
Cost
Containment
Strategies
Education and
Communication
Wellbeing and
On-site Clinic
Consulting
Actuarial/
Financial
Management
CBIZ Benefits &
Insurance Services
ACA and
Compliance
Guidance
Review risks and
opportunities
Measure
outcomes
Develop
strategy
Integrate
resources
MEANINGFUL INTEGRATION
Execute
plan
Supplying your employees with tools to prepare
each student for success in life.
SAMPLE
STRATEGIC
PLAN
Evolving
Cost Savings and Company Profitability
Building
Sustaining
PlanDesign
•
ConsumerDrivenPlans
•
<20% onHRA/HSA
•
CDHP20-50%
•
Move toHSA
•
CDHP50%+
•
HRA/HSA
NetworkEffectiveness
•
BroadNetwork
•
LimitedOONCostSharing
•
HighOONcostSharing
•
OptimalNetworkandPharmacy Discounts
•
Narrowmarketmodels
•
Networkdesigns:ACOs/PCMHs
•
Onsitenetwork integration
Clinical Resources/
Integration
•
Traditional casemanagementforhigh riskpatients
•
Voluntaryparticipation
•
Onsiteclinic
•
ComprehensiveOutreach
•
DMif illnessburdenwarrants
•
Quarterlyengagementopportunities
•
TotalPopulationManagement
•
Needs-basedmodel
ContributionStrategy
•
3tier
•
TobaccoSurcharge
•
4 tier
•
SpouseSurcharge
•
DefinedContribution
•
Drivedesired Enrollment
Rewardsand Incentives
•
Limited tonone (e.g.health assessment reward<$200)
•
Activitybased rewards up to$1000
•
LimitedBiometrics
•
Rewards includespouses
•
Outcomes andCompliancebased
•
ValueBasedBenefits
•
Tangibleand Intangible
DefinitionofWellness
•
PhysicalHealth
•
Physicaland Financialhealth
•
Includeall componentsofWellbeing
EmployeeEngagement
•
Employeeunderstands requirements
•
Managersand leaders understandwellbeingisa part of
their job
•
IntegratedSafety
•
Part ofCompany MissionandVision
DataAnalytics
•
Review PlanFinancialPerformance
•
HealthRiskAssessmentReports
•
Scorecardmeasuringsuccess
•
Medical,Pharmacyannual review
•
Biometrics,Labs,WellnessParticipation
•
IntegratedDataAnalytics&Modeling
•
ComponentsofWellbeing
•
Analyticsdrive plan design
•
Datasharedwithemployees
Communications&
Technology
•
OpenEnrollmentCommunications
•
LimitedMedia (Print,Web)
•
Behavioral Management
•
Branding
•
CultureofHealth
•
Consumerism101
•
CostTransparencyTools&Resources
•
Multimedia
•
ManagerTraining
•
PromotionofHealthyDecisions
•
Biometrics
•
Targetedcommunications
•
Personalizedscorecards
•
Promotionof value-based designs