Current Problems

PRECISPLAN1

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.


Cost Management

Limited to balancing funding and costs – costs and funding go up.


Discount Pricing

Solely dependent on the network’s ability to secure competitive rates that are rarely cost based.


Health Management

Most health plans don’t engage the members health and utilization in a true and real form towards improvement.


Poor Customer Service

Through large, centralized call centers with limited local knowledge.


Results:

Ever-Increasing costs due to large claims & poor health care integration. The only thing predictable is that an employer’s costs will increase year after year.

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