Scope of Services
We pride ourselves on having the best RFPs in the industry. Leveraging our industry experience and vendor relationships allows us to generate the best marketing results possible for your company.
We evaluate benefit networks based on access and cost to best match our client’s needs. We have developed an analytical process to ensure our clients receive the best discount for their benefit plan, and our process minimizes provider disruptions when converting benefits networks.
Pharmacy Benefit Analysis
Pharmacy benefits are becoming a higher percentage of total claim expenses. This increase requires a closer look at Pharmacy Benefit Managers (PBMs) and analysis of programs for discounts, rebates and cost controlling measures.
Wellness programs produce a healthier, more productive workforce. By identifying and addressing each client’s concerns through a wellness program, employers contribute to a healthier environment, reduce the impact of absenteeism, and minimize long-term costs.
Group Alternatives’ strategy utilizes a range of programs, including wellness screenings, health risk assessments, incentive programs, health coaching and online resources.
One of the significant challenges for plan sponsors is helping their employees understand their benefits and the changing industry environment. A good communication strategy is not just once a year, but ongoing throughout the year. Group Alternatives will take the time to understand your needs and customize a strategy for your specific situation and demographics.
Our benchmarking reports include data from over 5,000 employer benefit plans. The data can be filtered by industry, state, region and size of employer, allowing clients to make informed benefit plan decisions by analyzing similar group sizes and characteristics. The reports provide updated benefit details such as plan type (medical, dental, vision, etc.), deductibles, copays, out-of-pocket costs, Rx copays, HSA contributions, employee contributions and other essential plan details.
Group Alternatives will analyze your benefits to identify inefficiencies, mitigate unnecessary costs, and review plans for accuracy and contract compliance. We help you provide the most comprehensive and competitive benefits for your employees.
Group Alternatives’ proprietary Experience Analysis provides multi-year benefit expenses and reserve estimates. We also provide thoughtful cost modeling for alternative plan options and strategies.
Financial Impact of ACA
The Affordable Care Act (ACA) has changed how organizations must offer health insurance to their employees, creating additional financial challenges for employers.
Group Alternatives has developed a thorough approach to analyzing our clients’ responsibilities and potential penalties under the ACA. We map out a multi-year plan that addresses both current and future liabilities and penalties.
Consumer Driven Health Plans
Group Alternatives’ consumer driven health strategy has been an effective approach to lowering the cost of benefits for employers and employees. A well-designed program provides the employee with lower payroll contributions and money in a health savings fund to cover their out-of-pocket expenses. Individuals will spend their own money more efficiently than money they perceive to belong to the insurance companies. Current technology allows employees to effectively shop for the highest quality and best priced providers, creating a win for both employees and the benefit plan.