Health Benefits Plan design
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Employee benefits plan design for
traditional employee benefits plans, including:
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Deductibles;
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Co-pays;
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Flexible benefits;
- Pharmacy benefits
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Non-traditional Employee Benefits Plan designs
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Defined contribution
and other non-traditional designs, specializing in
risk-adjusted contribution designs (the employer contribution
matches the employee risk, rather than one-size-fits-all). |
Basic + Optional Plan designs
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Basic Catastrophic
plans with an option to buy-up to insured products such as
Critical Illness, a Medical Savings Account or Specialized
disease management programs
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Specialized network and provider consulting
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For a successful
Benefit design, creation of specialized networks of providers
who will manage members according to their condition. |
Disease management programs
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Disease Management offers opportunity to
manage the risk posed by non-catastrophic events and members.
However, financial aspects of disease management programs are
not well understood and the savings claimed for them are often
exaggerated. We have considerable experience of the
financial aspects of successful programs that we can apply to
your plan.
Papers written by Ian Duncan:
“Understanding the Economics
of Disease Management Programs”.
“Successful Disease Management is
99% execution and 1% clinical”.
"An
Introduction to Care Management Interventions And Their
Implications For Actuaries" |
Time-off Consulting
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Lost-time, or time away
from work, has significant hidden costs for employers.
Our tools and techniques help employers identify and address
the hidden costs of time off. Read Ian Duncan’s
publication “Measuring the Total Cost of Lost Time” (with
Jonathon Crane, Ph. D.) from Janet R. Douglas: Managing
Workers’ Compensation. John Wiley, 1996.
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