Employers

With healthcare spending accounting for nearly 15% of the nation’s economy, and managed care premium costs increasing from 20% to 50% per year on average, employers continue to seek solutions that offer a greater degree of predictability than managed care plans.

Self-funded PPO products provide a cost-effective option. By self-funding, employers can more directly control and predict their future healthcare expenditures, while enjoying significant benefit plan customization options. Self-insured plans have typically experienced lower premium increases than fully insured plans over the last few years.

Self-insured plans

• Reduce premium costs to about one-third of those of fully insured premiums
• Allow employers to provide some type of health insurance when a weak economy and rising health plan premiums are eroding margins
• Provide employers with immunity to state benefit mandates
• Provide employers with a significant degree of customization related to benefit plans
• Compelling provider network option yielding tangable stop loss discount consideration
• Provide your employees with an unparalled service experience

As a self-insured employer, Innovanté Benefit Administrators can help you reduce your benefit costs and provide you with an entire spectrum of services:

Claims Adjudication and Customer Service
Claims information is immediately available to ensure appropriate patient oversight and assist in identifying “trigger” events, such as stop-loss coordination and underlying conditions that require intervention.

Clinical Services, Disease Management, Health and Wellness
Our continuum of care approach considers your unique employee population, and we develop programs and recommendations that are in tune with their claims experience. Our experienced team can provide benefit plan recommendations related to both incentives and disincentives to encourage healthy lifestyle choices driving positive claim utilization results.

Member, Employer, Broker, and Provider Access
We provide online access to all necessary information, including benefit summary plan documents, explanation of benefits, claims status, eligibility status, and reporting information, in a secure, HIPAA-compliant format.

Actionable Data Sharing
We will provide you with concise information in a summary format that allows you to view and analyze specific data elements, giving you both a broad and detailed overview of your plan.

Provider Network Customization and Pharmacy Data Integration
Regardless of your situation, we can provide you with a multitude of provider network options that best meet your coverage needs, whether your employees are located in multiple states or in a single state and require “wrap” coverage while they travel.

Reinsurance Coordination
We work in tandem with reinsurance companies to ensure that they, and you, are provided with timely notification of diagnoses that can trigger deductibles on a proactive basis, as well as catastrophic claims. We have been evaluated by a variety of carriers and have met the criteria for claims processing and notification guidelines.