Healthcare premiums have skyrocketed into one of the largest expense items on your P&L, making benefits unaffordable for you and your employees. It’s time for the traditional “status quo” broker to step aside. The FULL CIRCLE SOLUTION, is a comprehensive process using cutting edge tools and strategies along with professional guidance, to achieve substantial savings to an organizations bottom line. YES, there is a better way!

STEP 1: TRANSPARENCY

It’s all about seeing!

How does it work?

• Transparent TPA (Third Party Administrator)
■ Provides data & allows cost cutting strategies
• Transparent PBM (Pharmacy Benefit Manager)
■ Dramatically reduces drug spend
■ Returns 100% of rebates = $15 to $22 PEPM (per employee per month)
• Transparent Broker/Advisor
■ Tie compensation to your savings

STEP 3: MEDICAL BILL REVIEW

80% of claims have some form of improper billing.
Save 7% of your total spend from this alone.

How does it work?

• No auto adjudicating
• Line by line claim reviews
• Claim auditing
• Fraud & abuse detection
• Unbundling
• Claim negotiation
• Intelligent claim surveillance

STEP 2: CLAIMS REDUCTION/ COST MANAGEMENT

Right Care. Right Time. Right Place. Right Price.

How does it work?

• 24/7/365 Advocacy
■ Team of nurses and doctors guides you through the healthcare supply chain
• Transparent Shopping
■ Know the best price every time
• Free telemedicine
• Drug cost management

STEP 4: DATA ANALYTICS

Tracking plan effectiveness and making adjustments as necessary.

How does it work?

• Client-Specific Reports
• Comprehensive monthly reports
• Regular client meetings
• Predictive/Plan Modeling
• Innovative Products & Services
• Unique stop-loss options