Long term health care strategy

Specific Client Challenge

 Mid-Sized regional hospital in search of long-term healthcare strategy.

Evolution Benefits Consulting Consulting Analysis and Recommendations

• Evolution Benefits Consulting prepared a comprehensive “benefit diagnostic” analyzing client’s current state (costs, contributions and trends versus benchmarks)
• We developed a 3-tier PPO strategy driving members to use their own facility and doctors to maximize benefit coverage
• The client was able to move into an Evolution Benefits Consulting created prescription drug coalition, saving 8% in Rx costs.
• Costs have been under trend for four years running since we became involved with their programs.
• Client won the Benefits Leadership-Healthcare Award at the 2007 Benefits Management Forum and Expo, citing the assistance of Evolution Benefits Consulting.

Employer Decision

• As a result of the diagnostic, employer agreed to enact a 3-5 year benefit strategy.

Client & Employee Results

• Benefits of this strategy include: (see chart below)
  • Increase in utilization of their own hospital by 10%
  • Annual actual medical and Rx trend increase was less than 2% per year compared to market norms of 7-9%