Case Study: Health and Welfare Consulting

 

Profile
F&F worked diligently with a fully insured client employing 325 workers. A full 20 percent of these employees worked from remote satellite locations.

 

Situation
When this client approached F&F, the majority of its large claims represented only 2 percent of its employee population yet it faced high HMO capitation expenses. The employer’s multiple satellite locations offered limited access to providers and few benefit options. In addition, this employer did not offer wellness or disease-management programs to its employees.

 

Objectives
This client asked F&F to help it move to self-insured funding to realize cash flow savings. In addition, the client wanted to establish an effective wellness and disease-management program and activate health management services to focus on the 2 percent of large claimants. Its third objective was to implement an Executive Provider Organzition (EPO) program to provide more provider options to the satellite locations and offer multiple provider networks to best suit the needs of each location.

 

Results
Working with its client, F&F:

• Maintained employee contribution
• Reduced renewal costs by 12 percent
• Increased plan benefits
• Reduced large claims by 65 percent