Direct Primary Care - A New Alternative to Primary Care Physicians
By: Devon Bellamy, Axion RMS
With the cost of healthcare rising about 8.5% each year, employers must embrace creative solutions – or face extinction. By introducing risk management solutions, it helps employers not only protect their bottom line, but also anticipate the consequences of cost shifting to employees. Direct Primary Care (DPC) is a new, innovative solution that helps empower employees at an affordable price for employers.
DPC doctors charge a monthly “subscription fee” and typically don’t accept insurance. These are highly trained primary care physicians and health coaches who often see patients without copays, coinsurance or even prescription drug costs (varies by policy contract). By...
Pharmaceutical related costs make up a third of all health care costs. Naturally, many employers are now looking for creative solutions to help curb these costs and gain transparency to identify savings.
Axion has developed partnerships with companies that can provide a solution for this: Pharmacy Carve Out Programs. A pharmacy carve out program is a risk management strategy where a health care sponsor selects a Pharmacy Benefit Manager to administer and manage its prescription benefit. By using PBMs as a separate claims administrator from the employer’s health insurer, it removes the health plan as an intermediary for pharmacy benefits. Also, stand-alone PBMs can provide a more customized plan design strategy than...
Surgery Costs Continue Driving Employer Healthcare Spend
By: Chad Burdo, Axion RMS
Surgery costs represent the single largest component of United States health care spending at approximately $700 billion, or 31% of the total annual health care spend. Much of this cost is passed on to self-funded employers who continue to see their health care spend, especially spend related to surgery, skyrocket.
Beginning in 2018, Axion is able to introduce a solution that has been proven to reduce surgery costs 30-50% on average, while guaranteeing employees are able to be admitted to a Center of Excellence (top 25 percentile provider) in the United States.
This solution is an innovative approach that yields positive results for employers, employees and providers....
Employee Communication: An often overlooked aspect for improving your multi-year benefits strategy.
By: Brandon Collins, Axion RMS
Has your strategy for communicating benefits to your employees evolved in the past several years? If the answer is no, you are missing an important aspect of your overall benefits strategy.
Axion is impacting mid-market employers by implementing a market-driven approach to communications. What is this approach?
In the past, benefits communications were insignificant. The goal of communication was to update benefit guides or highlight sheets, keep forms available for employees, and provide an annual newsletter to summarize updates and improvements to benefits.
Today, you should focus on motivating employees to...
What is your risk tolerance? Many would argue they are either risk-seeking or risk-averse – you’re either all in or you’re not, 0 or 100% tolerant. When it comes to the traditional models of employer healthcare insurance, funding arrangements are the same: you’re either fully insured or self-funded. When you’re self-funded, you take on more of the risk, but by adding a captive program, you give yourself the opportunity to earn a dividend when your claims experience is favorable.
A Captive Employee Benefits Program is an insurance plan that pools companies for the purpose of sharing employee benefits insurance risk. Employers join a captive with other companies who are like-minded with the goal of...
Lower Your Healthcare Costs with Medicare Cost Plus
By: Devon Bellamy, Axion RMS
Medicare Cost Plus plans result in annual claims savings of around $150,000 - $200,000 per 100 employees for employers.”
Self-insured medical plan groups are becoming very prevalent – however, they are still experiencing increases in per capita medical costs that greatly exceed Consumer Price Index. A Medicare Cost Plus (MCP) plan may be a solution that fits your company’s needs in order to combat the rising costs of healthcare.
An MCP is a progressive healthcare plan that uses a Medicare pricing model for claims reimbursement. On average, these plans will pay 120% of the cost of Medicare pricing for certain doctor visits and procedures as opposed...
Imagine you are the CFO or CEO of a mid-sized company in Chicago and you had the opportunity to save $6.25 million dollars in the next five years. How would you do it?
With insurance premiums expected to increase an average of 8.5% per year between 2016 and 2018, Axion Risk Management Strategies (RMS) has implemented Narrow Network strategies to “bend trend”.
Narrow and high-performance networks refer to a specialized, smaller group of health care providers who offer comprehensive medical services and reduced pricing. These preferred provider (PPO) networks are usually regionally based, with a limited number of participating hospitals, outpatient facilities and physicians....
By: Alexander Koglin, Benefits Consultant, Axion RMS
While America waits for the Trump administration to deliver the change to healthcare that in part elected him, the reality is that high costs are here, and immediate action is necessary. According to The Kiplinger Letter, 10% of patients currently account for 65% of health costs. While we wait for our political leaders to act on lowering healthcare costs, here are 5 things you can do to mitigate high cost claims.
Think of it this way—when paying an insurer, you’re not only paying for claims incurred, but the administration, overhead, and profit of the insurer. When employers partially self-fund their healthcare plan, they pay...
Financial Wellness: How it Impacts the Health of Employees
By: Brandon Collins, Axion RMS
What is a Financial Wellness Program?
Workplace wellness programs first rose to prominence in the late 1980s. The original design of the programs addressed physical and mental well-being for employees through lifestyle and disease management. According to IBIS World, a leader in industry market research, the wellness industry generates nearly $6 billion in revenue. While physical and mental health are important for employees, an emerging topic the last several years is financial wellness. These programs include retirement planning, debt management, budgeting, and investing to name a few. A recent CNBC article reported 55% of companies offer one of these...
ACA Reform: A Sneak Peek into the new American Health Care Act
By: Alex Koglin, Axion RMS
After much anticipation, House Republicans have revealed their alternative to the Affordable Care Act. The new American Health Care Act promises many changes ranging from tax incentives to a halt on Medicaid expansion. Despite meaningful progress, the bill faces challenges. Even among republicans, there is still discord between moderate and hard-right conservatives like Rand Paul, who has dubbed the new plan “Obamacare Lite.” The bill has yet to receive a price tag, and certain features, such as opening state lines to promote competition are noticeably missing (President Trump tweeted on March 7th that the elimination of state lines will be rolled out in phase 2 and...