Problems with Current Health Plans
Self-Funded Plans: No Integration
Current plans offer limited coordination between the health plan, Providers, and the Members.
Fully Insured Plans: No Flexibility
Insured plans primarily have their interests in maintaining margins and not their customers.
Employer’s Risk Management
Generic, superficial attention to prevention–window-dressing.
Limited to balancing funding and costs – costs and funding go up.
Solely dependent on the network’s ability to secure competitive rates that are rarely cost based.
Most health plans don’t engage the members health and utilization in a true and real form towards improvement.
Poor Customer Service