An Indianapolis-based education employer with more than 5,400 covered lives engaged Apex as a strategic advisor during its 2017 renewal.
Under their prior advisor’s tenure, the client’s rates were increasing at an astounding rate.
After renegotiating 2017 renewal terms with the client’s carrier, Apex was able to secure concessions totaling $4.3 million related to plan years 2016 and 2017. For 2018, Apex negotiated a reduction to overall costs by 10 percent with no change in benefits and offered additional plan options and employer contributions to employees’ health savings accounts.
In 2019, a zero percent increase was negotiated with benefit enhancements to expand the number of preventative prescription medications. A premium refund arrangement was negotiated with return of $2 million for the plan year.
The client was moved to a self-funding plan in 2020 resulting in savings of $3 million. In 2021, $3 million in savings was realized as a result of the previous year’s self-funding decision.
After analyzing the benefit plan design and clinic ROI, the team determined the clinic was not in the best interest of this client. Our Kinetiq Health team developed programs to replace the clinic and deliver those at more than 50 client locations.
A more accessible clinic arrangement was brought back to provide priority scheduling, Saturday hours and urgent care access — at one-third the original clinic cost.
Current programming includes two health coaches trained in exercise science and a licensed clinical social worker.
Onsite engagement also includes health challenges, screenings, flu shots, access to telemedicine, and lunch and learn educational programs.
More Case Studies
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City government with 500 employees sees cost increase transformed to savings after Apex’s renewal negotiation with the stop-loss carrier. A 20% cost increase instead becomes over $500,000 in savings.
- August 31, 2023
A family employed by an Apex client was seeking answers and resources as they navigated their child’s complex health challenges. Apex’s Second Opinion Program connected them with world-renowned experts and vital local support.
- July 27, 2023
A county government with 100 employees partnered with Apex to implement reference-based reimbursement. Over the next 6 years, they experienced sustained savings on both health care spend and PEPM costs.