Group Health

GROUP HEALTH INSURANCE

As health care costs continue to rise, and legislative and economic changes alter the benefit landscape, employers are seeking innovative and cost-efficient employee benefits solutions. Employers must continue their laser-focus on near-term cost management, including strong vendor management and sound design and cost sharing tactics. At the same time, employers seek to change the longer-term cost curve by addressing employee health, lifestyle choices and productivity. ECIA health and benefits consulting practice works with employers to develop customized benefits plans that drive engagement, promote responsibility and accountability, help participants manage health risk and chronic conditions, and reduce absence.

If you would like more Group Health Insurance coverage information, you have options: 

• Speak with an ECIA Group Health Insurance team member: (800) 624-8976 
• Request more information by completing the Contact Request form and one of our ECIA insurance specialist will contact you the same day, or worse case the following day. 

Design and Pricing

• Benefit design and cost modeling
  
• Adverse selection/migration analysis
• Annual benefit budget creation/funding analysis and options
• Health improvement and productivity analysis
• Employee contribution development/impact analysis
• Incentive cost/benefit analysis (ROI)
• Dependent eligibility audits
• Vendor renewals/selecting RFP’s and negotiation

Health and Benefits Consulting Services Solutions

• Health care benefits (health, dental, vision, etc.) program development and management
• Absence, disability and leave
• Elective benefits
• Compliance
• Pharmacy
• Clinical/Health management
• Special risk
• Claim audits

Planning and Strategy

• Comprehensive strategic planning session
• Wellness cultural readiness assessment
• Root causes and avoidable claims cost analysis
• Employee and executive data gathering
• Benchmarking
• Health risk or diabetes risk studies
• Networks discount and fee benchmarking
• Provider quality analysis
• On-site or near-site clinic feasibility analysis

Execution and Delivery

• Communication strategy planning
• Vendor integration and enrollment coordination
• Vendor/plan change implementation management
• Vendor contract/compliance review
• Retiree drug subsidy

Ongoing Measurement

• Vendor performance objectives and measures
• Annual 5500 form completion
• Nondiscrimination testing/oversight/pre-testing
• Facilitation of vendor stewardship meetings
• Data warehouse data optimization mining and reporting
• Performance reviews (claim and clinical audits)
• Ongoing experience monitoring and reporting
• Scorecards/dashboard creation and monitoring
• Compliance review
• Disability and absence management

Holistic Health Management Solutions

Health care management fosters improved and holistic changes in your employees’ health and productivity through well-thought-out intervention, reduced hospitalizations, and decreased accumulated lifestyle risks. We deliver a turn-key solution. We have the consulting expertise and administrative resources to plan, design, execute and deliver your health benefits strategy.

An Approach Focused on Driving Change

Our data-driven approach identifies employee disease prevalence and savings opportunities, and our clinicians design interventions, assess program success and identify opportunities to improve clinical outcomes. Introduction of employee incentive programs that encourage more participation, drive changes in employee behavior and measure the program’s return on investment.

If you would like more Group Health Insurance coverage information, you have options: 

• Speak with an ECIA Group Health Insurance team member: (800) 624-8976 
• Request more information by completing the Contact Request form and one of our ECIA insurance specialist will contact you the same day, or worse case the following day.