A senior living organization runs an entire business off Medicare, but yet uses a “top down” approach when dealing with their 2nd largest expense- health benefits. Additionally, employee demographics present a challenge when designing a health benefits offering.
- Employees scattered in multiple locations; often multi-state
- Diverse range of employees; large disparity of socio-economics
- High turnover, low margin business
- Low benefits savviness
Run your health plan like you run your business
Given the unique nature of a tribal entity, moving to a more flexible model allowed the group to maximize the cost reduction strategies specific to this industry. They were able to implement:
- Medicare-Like Rates
- 340B drug pricing; transparent PBM
- Direct contracting and bundled payments
- Incentives to high quality facilities
How real customers feel about transparency
The generosity we received from your company health plan is without words. Our family could not have afforded the over 50 days of hospice care Jack received here in our home during his fight with COVID-19. I am not sure how we would have paid for the cost, but, because of you, we were able to spend time with Jack on his last days… at home. I only hope your other employees, and their family, appreciate you, and your plan, like we do. We will always be grateful.
Given we are on a high-deductible, it is great to know what I am going to pay before I get the service. The advocate always gives me options; I don’t mind driving a bit to save hundreds, even thousands… it’s my money!
Native American Casino
Just wanted to thank you for putting in this new plan. I have been needing this back procedure for over 3 years now but could not afford it. With our new plan, I was able to go to the same doctor I have been seeing and it was FREE. I am now pain free and able to spend more time with my grandkids. I can not tell you how much I appreciate working here!