Cost Management / Actuarial Services
Underwriting Analysis
We employ both internal and outside actuarial firms to assist with actuarial calculations critical to your employee benefit plan. Our partners can provide analyses and studies ranging from basic valuations to highly sophisticated long-range forecasts. By partnering with them, we go beyond standard solutions and deliver the maximum value for your benefit dollar.
We provide employer groups with tools that will provide consistent year-to-year data, easy-to-read reports and comparative benchmarks. This highly meaningful yet understandable information enables us to work together with your data in a continuous, interactive manner as plan management issues arise. Further, this lets us detect problems with medical utilization or plan cost, isolate the root causes of problem areas and create money-saving solutions. This insight will also let us determine the actuarial vale of on-going cost allowing proper negotiation of your benefit program costs.
Contact mybenefits@blctx.com to see how you can use your data to yield better financial terms from the carrier market.
Funding Arrangement Evaluation
The spectrum of available funding arrangements has vastly expanded. Providing viable solutions outside the traditional fully insured arrangement for any size employer. With the advancement of technology employers now have the ability to gain valuable insight into claims data. This increased understanding of cost drivers can lead to exploring different ways to fund and/or purchase insurance.
While sometimes the traditional fully insured program is most advantageous it can lack transparency and ability to plan for future business conditions. This analysis illuminates areas of overpayment due to high administrative costs, carrier claim shifting, carrier reserve fulfillment and many other non-employer related drivers.
If your organization routinely receives undesirable renewal increase from your fully insured carrier please contact us at mybenefits@blctx.comand explore other ways to provide medical benefits to your employees.
Prescription Benefit Consulting (PBM)
Pharmacy benefits have become one of the most high-profile areas of employee health plans, from both an economic and a member desirability and satisfaction standpoint. What’s more, the pharmacy arena is highly complex and rapidly changing. Because of the regulation, competitiveness and volatility within the Pharmacy Benefit Management space BLC is able to leverage the market place coupled with pedigreed experts to compare your current pharmacy benefits manager to other leading national providers. Our process affords clients access to exclusive, extremely favorable terms for their pharmacy benefits. The highlights of this process can result in substantial savings and improved member experience. Among the varies areas evaluated we achieve zero-dollar administrative fees, low dispensing fees, deep pharmacy discounts and aggressive rebates.
BLC can evaluate and compare your current PBM to determine the most cost-effective program for you, please contact mybenefits@blctx.com for more information.
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