We’ve made cost containment for employee healthcare benefits an EASY WIN. Most of the individual parts that make up our comprehensive Simply Smart Health Plan, can be easily implemented along side your current health plan. You can start off with one or two of the solutions described below, experience the benefits, and then decide when you want to take a deeper dive.
Are you wasting money on healthcare?
If cost containment solutions aren’t a part of your employee healthcare benefits, then the answer is probably YES.
Stop wasting money, make cost containment a part of you healthcare benefits.
Use our online tool to determine your specific opportunity areas for cost containment.
Some of Our Cost Containment Solutions
Designed to work along side most current employer health plans.
Rx Management
Pharmaceutical costs have been skyrocketing. This typically represents the single largest category of healthcare spend for most employer health plans. An Rx Management Solution through Simply Smart Health, can reduce this by an average of 25%.
Stop-Loss Management
We are able to help lower stop-loss costs through competitive bidding, active contract review and management, and by the cost containment solutions that we employ. When you embrace cost containment and active member management, you are not only saving your company money, but you are reducing the financial risk for your stop-loss carrier. This translates into lower rates.
Stop-Loss Management
We are able to help lower stop-loss costs through competitive bidding, active contract review and management, and by the cost containment solutions that we employ. When you embrace cost containment and active member management, you are not only saving your company money, but you are reducing the financial risk for your stop-loss carrier. This translates into lower rates.
Direct Contracting
Direct contracting with hospitals and doctors can lower costs significantly. We use advanced software to make direct contracting easy and scalable. Direct contracting is integrated as a key part of our Simply Smart Health Plans.
ER Diversion
Over 71% of the visits to the emergency department are unnecessary or avoidable*. The key to addressing this issue revolves around member education and access to supportive resources. Through 24×7 online and live telephone support, Simply Smart Health’s ER Diversion Program can help reduce unnecessary emergency department visits, and guide your plan members to the most appropriate, cost effective care. (*Truven Analytics Study)
ER Diversion
Over 60% of the visits to the emergency department could have been adequately handled through a lower-cost option. The key to addressing this issue revolves around member education and access to supportive resources. Through 24×7 online and live telephone support, Simply Smart Health’s ER Diversion Program can help reduce unnecessary emergency department visits, and guide your plan members to the most appropriate, cost effective care.
Surgical Management
Without appropriate management and oversight, scheduled procedures can be very costly and sometimes may not be medically necessary. A Surgical Management Solution from Simply Smart Health helps to lower costs, ensure the highest quality of care, and validate medical necessity. By taking an active management approach to this segment of care, not only does the employer benefit, but the employee health and wellbeing improves as well.
Disease Management
Statistically, 6% -8 % of your health plan members consume 80% of your plan dollars. The the two main drivers for this spend are chronic disease and back pain. A Disease Management Solution through Simply Smart Health is designed to proactively identify and actively manage this segment of the population to lower costs through health improvement.
Disease Management
Statistically, 6% -8 % of your health plan members consume 80% of your plan dollars. The the two main drivers for this spend are chronic disease and back pain. A Disease Management Solution through Simply Smart Health is designed to proactively identify and actively manage this segment of the population to lower costs through health improvement.