Commit to Prosperity

When the healthcare industry misaligns with the goals and data of our clients, TBC commits to challenging the status quo.

Over a five year period, a company will save 50% of one year’s premiums by reducing the renewal trend by only 3%.

Together, let’s build a multi-year strategy to challenge the benefit industry’s outdated and ineffective approaches.

The Benefit Company‘s ability to educate our leadership team helped us make the right decisions for our members. Ultimately, we are spending less without reducing benefits for our employees and families: a true win-win!
Healthcare Rehabilitation CenterCOO

Multi-Location Equipment Distributor

When Employees are “with” Employers, Prosperity Abounds

Knowing that my health coach is watching me helped me reach my goals. I’ve lost 77 pounds, my cholesterol levels are now in the healthy range and my blood pressure went from being in stroke level to perfect!
Client Employee
  • Implemented a mobile app to place benefit information and resources at employees’ fingertips (telemedicine, price transparency, etc.).
  • Engaged one-to-one health coaches to meet with employees at more than 10 different worksites throughout the state.
  • Exceeded annual blood pressure drive goal with 802 participants.
  • More than 75% of employees chose to participate in the biometric screening program.
  • Achieved an ROI of 14:1 on Telemedicine
  • In the most recent previous year, 620 members engaged in price transparency and second opinion tools ($443,926 in documented savings over three years).
  • Leveraging data analytics, preventative health programs, and health coaches, hypertension medication gaps fell to below 9% for the 3rd year in a row.

5,000 Employee Healthcare Company

Exposing the Status Quo with a Multi-Year Strategy and Innovation

I recently looked back at the strategic plan The Benefit Company helped us put in place three years ago, and it was great to see we accomplished every goal.
Vice President, Human Resources
  • The Benefit Company partnered to help this 5,000+ employee healthcare company build a multi-year strategy to navigate the changing healthcare landscape.
  • The pace of change within the healthcare strategic plan was directed by infrastructure/technology needs and a focus on navigating Healthcare Reform compliance.
  • Year 1: Self-funding was chosen to obtain access to data; carve-out the stop loss program; implement a data-aggregation tool to help identify healthcare spend waste; and, better assess opportunities for population health management.
  • Year 2: Carve out the Pharmacy Benefit Management. Use data analytics to address gaps in care.
  • Year 3: Build Case Management and Pharmacy outreach solutions to promote adherence to care norms, preventative care, and steer members to appropriate care.
  • Year 4: Implement access to internal drug formularies at reduced copays to help employees increase medication adherence.

Statewide Truck Distributor

On the Road to a Negative Renewal Trend

Our benefits are still an expense, but one that we are confidently controlling. Our reserves tell the story… and it’s a good one!
Chief Financial Officer
  • Education led to choosing the right path, not the easiest path.
  • When fully insured, the client knew there was a better way, but needed help finding it. They hired TBC in 2015 to help guide them down that path.
  • The client first transitioned to a self-funded plan using a captive in September 2015. They also added telemedicine, price transparency tools, and launched a high-impact wellness program with Corporate Health Partners (CHP).
  • From 2015 to 2019 the client attained a -1.13% trend.
  • They recently moved to an independent TPA and a new pharmacy vendor resulting in $125,000 in Rx savings.
  • This client understands that self-funding itself is not a destination, but a vehicle to offer employees better healthcare at a better price.

Nationally Recognized Engineering Firm

Lower Premiums and 75% Participation with Population Health Management

I have lost 40 pounds since December. My blood pressure is now within normal range, as is my cholesterol, and my BMI and body fat percentage have gone way down. Being able to eliminate the need for 3 medications by choosing healthy food and exercise is enough to make me never want to go back to my old habits.
Client Employee
  • Company began biometrics and one-to-one behavior coaching seven years ago while fully insured.
  • As they grew, they gradually migrated from fully insured, to level-funded, to self-funded medical programs.
  • Chose to implement data analytics three years ago to help identify areas of opportunity in population health management.
  • Continued culture building with lunch and learns, step competitions, and other challenges.
  • Engaged price transparency and telemedicine tools to empower employees to choose better care options.
  • Implemented third party clinical case management and disease management programs, as guided by data analytics.
  • Over six years, they have achieved more than 75% participation in wellness programs, including biometric completion and wellness coaching.

1,200 Employee Construction Company

Pharmacy Benefit Management (PBM) Control without Disrupting Employees

Through education and execution, TBC has helped us create a quality and sustainable healthcare program. The pharmacy results are a shining star in this ongoing process!
President and CEO
  • Taking control of pharmacy spend does not have to cause disruption to members and employees.
  • Significant amounts of money can be saved by addressing issues within PBM contracts — even more when we can control proper clinical usage.
  • This 1,200 employee group will save more than $600,000 and avoid trouble down the road.
  • We now have a clinical resource (pharmacist) in place to help the plan make proper decisions on appeals, approvals, and denials.
  • We found two instances of pharmacy fraud committed against the plan (not by employees) and stopped them.
  • The client-controlled and limited member disruption through three months of grandfathering and consistent communications directly to those affected.