THE MYSTERY OF SELF-FUNDED HEALTH PLANS SOLVED

Healthcare reform is driving sweeping change for private health plans. Meeting these demands means using knowledge and relatable experience in new ways to drive more effective, efficient and affordable healthcare solutions. Yet the issues are complex and the choices are many—from mandates to cut costs to the impact of payment reform and new business models, balanced against employee satisfaction, engagement and retention objectives and overall employee morale.

Flagship helps navigate and balance the new landscape for employers. Whether you are building your own self-insured plan or evaluating the appropriateness of the exchange for your employees and their families.

Flagship has relationships with best-in-class partners that can work together to advance the high quality of health care services, to improve the health status of employees and their families, and to achieve efficiencies that will help employers reduce the rising cost of healthcare.

Our services.

 

employer health Plan services

  • Health care benefits (health, dental, vision, etc.) program development and management

  • Elective benefits

  • Pharmacy

  • Clinical/Health management

  • Coalition purchasing group

  • Special risk

  • Global coverage

 

Execution + delivery

  • Communication strategy planning

  • Vendor summit

  • Vendor integration and enrollment coordination

  • Vendor/plan change implementation management

  • Vendor contract/compliance review

planning + strategy

  • Comprehensive strategic planning session

  • Wellness cultural readiness assessment

  • Root causes and avoidable claims cost analysis

  • Employee and executive data gathering

  • Benchmarking

  • Networks discount and fee benchmarking

  • Provider quality analysis

  • On-site or near-site clinic feasibility analysis

ongoing measurement

  • Vendor performance objectives and measures

  • Facilitation of vendor stewardship meetings

  • Data warehouse data optimization mining and reporting

  • Ongoing experience monitoring and reporting

  • Scorecards/dashboard creation and monitoring

design + pricing

  • Vendor renewals/selecting RFP’s and negotiation

  • Benefit design and cost modeling

  • Adverse selection/migration analysis

  • Annual benefit budget creation/funding analysis and options

  • Health improvement and productivity analysis

  • Rx Compliance/PBM effectiveness

  • Dependent eligibility audits