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Archive: Case Study
- September 20, 2022
Large School System Builds $14.3M Reserve in Five Years
Prior to Apex becoming the strategic advisor, this client also had a near-site clinic available to all members on the medical plan. After a thorough review of clinic data, our team found that the cost per visit exceeded $225 due …
- August 10, 2022
$2.4M in Rx Cost Savings Identified for Financial Sector Client
Working closely with the insurance company’s reinsurance and pharmacy teams, the Kinetiq Health team came up with a solution to purchase the treatment directly from the manufacturer at actual cost while the hospital continued administering the dependent’s infusion therapy each …
- July 19, 2022
Client Realizes Nearly $3M in Rx Savings in One Year
After reviewing the language of the pharmacy benefit management (PBM) contract that determined the terms and cost variables, savings opportunities were identified without changing any benefits to employees.
- March 23, 2022
Stop Loss and Medical Plan, Rx Savings Result in Richer Benefits
MSD of Wayne Township was dedicated to employee health and wellness prior to engaging with Apex Benefits and its Kinetiq Health team in late 2019. While mostly satisfied with their wellness program, the school system was looking for opportunities to …
- January 20, 2022
School System Partners with Apex to Impact Employee Well-being, Realize Cost Savings
MSD of Wayne Township was dedicated to employee health and wellness prior to engaging with Apex Benefits and its Kinetiq Health team in late 2019. While mostly satisfied with their wellness program, the school system was looking for opportunities to …
- December 16, 2021
Renewal Negotiations Net $200K Savings for Large Employer
The client made a switch in consultants to Apex just before the beginning of the fourth quarter and had already started the renewal negotiation process. The former consultant’s negotiated renewal rate suggested increased costs of $208,000.
- November 1, 2021
Apex Rx Expertise Helps Client Cut Spend By More Than a Third
The savings found were substantial for the client. After discounts, rebates and fees the annual identified pharmacy savings were $110,156 for the client. Apex also discovered additional savings through clinical and specialty drugs of another $100,581. Those combined savings cut …
- October 18, 2021
Peer Review Nets Nearly $1 Million in Identified Savings
The client was unsatisfied with the customer service and level of innovation provided by their benefits advisor. Apex was engaged to complete a Peer Review to identify immediate and future plan savings with minimal disruption to plan members.
- October 3, 2021
Clinical Expertise Saves $600K in Laser Liability Costs
The client’s insurance provider would not release the detailed claims data and clinical case notes needed to help Apex negotiate the renewal. Therefore, competing stop loss carriers were comfortable with the risk profile only if able to “laser” one claimant …
- September 13, 2021
Indiana Township Realizes $505,000 in Savings
It was determined that the client was due a refund. The Township not only saved money, but also saw an improved return on their investment for the clinic. The savings understandably left the client pleased knowing it was spending less …
- August 31, 2021
Client Sees Rx Spend Trimmed By More Than Half From Prior Year
A mid-sized company with diverse holdings in the food and entertainment sector with about 400 employees.
- July 18, 2021
Realizing Savings Through Shift from Fully-Funded to RBR
The client was experiencing rising and unsustainable healthcare costs while their revenue stream was capped. In 2015, two years prior to hiring Apex, its healthcare spend was $1.66 million. That spend increased to $1.81 million in 2016.
