PRESS RELEASE

Employers Take Control of Medical Costs
With Self-Funded Health Plans

Nov. 16, 2016 (Ocoee, Fla.) – Healthcare cost control and risk management are critical reasons why Crowne Consulting Group and its benefits-planning partners are helping employers to self-fund their health plans.

While Crowne’s solutions have supported corporations, school districts, sheriff’s offices, and municipalities spanning Florida, the self-funding trend is spreading nationwide. Employee Benefit Research Institute (EBRI), a Washington, D.C.-based nonprofit, published a July report on trends in self-insured health plans between 1996 and 2015.  A rise from 28.5 to 39 percent was reported for private employers offering self-funded plans.

For decades, a majority of large employers and government agencies have benefited from self-funded plans, but EBRI’s report notes an increasing percentage of small and mid-sized businesses self-funding. Additionally, October’s Market Realities report by Willis Towers Watson forecasts lower rate increases for self-insured plans compared to fully insured plans in 2017.

“Whether a decision to self-fund is for lowering insurance expenses or for managing government provisions, employers are achieving greater control of costs,” said Ray Tomlinson, president of Crowne Consulting Group, which is aligned with partners offering special programs with rate-caps from one of the nation’s largest stop-loss carriers for those risks who qualify.  “Reinsurance or external insurance for catastrophic events is essential in managing long-term risk and avoiding losses through high-cost claims.”

Crowne and its partners are also helping self-funded employers mitigate risks and lower expenses through the operation of onsite and near-site health and wellness centers.  In contrast to the typically expensive fee-for-service model of filing insurance claims, a self-funded employer can launch an onsite-care model and pay significantly less for medical services for employees, retirees, and their dependents. No-cost primary and chronic care, screenings, x-rays, wellness programs, and onsite pharmacies are among the benefits to patients of worksite healthcare.

About Crowne Consulting Group:  Crowne Consulting Group, Inc., founded in 1986, provides administrative oversight services for worksite health and wellness centers and is a related company with The Crowne Group, an employee benefits consulting firm specializing in employer solutions and personal lines of insurance.  Crowne serves public sector employers such as school boards, city and county government, sheriff offices, as well as private organizations.  Solutions for consumer-driven plans include health reimbursement arrangements, self-funded plans, onsite health centers, as well as risk management and human resources consulting.

Employers are Self-Funding to Find Savings in Healthcare

Crowne Consulting Group launches affiliate corporation, Medical Risk Solutions,
to help employers transition to self-funded and to launch worksite health centers.

Sept. 23, 2015 (Ocoee, Fla.) – Various provisions of the Affordable Care Act have swayed employers to opt for self-funding in order to achieve the greatest return from their healthcare investments.

In response to the growing demand for risk management coupled with self-funded plans, the benefits experts at Crowne Consulting Group have launched an affiliate onsite healthcare company, Medical Risk Solutions (www.medicalrisksolutions.com).

Medical Risk Solutions specializes in helping employers to strategically transition from fully insured to self-funded or partially self-funded through its Guaranteed Program with a rate-cap for at least three years.

“Our clients leverage the power of partnerships with one of the nation’s largest stop-loss carriers, providing reinsurance with a guaranteed rate cap,” said Ray Tomlinson, president of both Crowne Consulting Group and Medical Risk Solutions.  “Also, in conjunction with trusted medical partnerships, we remain positioned to help employers implement employee health and wellness centers for reducing the cost of healthcare claims under the more expensive fee-for-service model.”

As a positive, self-insured plans are exempt from medical-loss-ratio requirements and aren’t subject to risk-adjustment.  Onsite healthcare for employees attracts self-funded groups because visits are paid directly by the employer.  No claim is filed.  Group health insurance typically is conducted in a fee-for-services model.  The more physician services, the higher the bill.  With an onsite center, however, the employer controls spending by paying a flat fee and costs without mark-up.

Florida-based Crowne Consulting Group has helped self-funded employers in Florida ranging from 200 to over 8,000 employees to launch onsite healthcare.  Employers have saved millions of dollars in healthcare costs, decreased prescription drug costs, and lowered operational expenditures.

About Crowne Consulting Group, Inc: Crowne Consulting Group, Inc., founded in 1986, consults and provides administrative oversight services for onsite health and wellness centers to employers and is a related company with The Crowne Group, an employee benefits consulting firm specializing in employer solutions and personal lines of insurance.  Crowne’s experts have experience in serving public sector employers such as school boards, city and county government, sheriff offices, as well as private organizations.  Solutions for consumer-driven plans include health reimbursement arrangements, self-funded plans, onsite health and wellness centers, as well as risk management and human resources consulting.

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Onsite and In Demand:
Helping Large and Small Employers to Lower Health Costs

With the various provisions in the Affordable Care Act and opt-out-only requirements for employee health coverage, it’s clear that Healthcare Reform will push many smaller employers to opt for self-funding.

As a positive, self-insured plans are exempt from medical loss ratio requirements and aren’t subject to risk-adjustment.

Onsite healthcare for employees attracts self-funded groups because visits are paid directly by the employer.  No claim is filed.  Group health insurance typically is conducted in a fee-for-services model.  The more physician services, the higher the bill.  With an onsite health center, however, the employer controls spending by paying a flat fee and pass-through costs without any markup.

Employers can stick with their current healthcare plan and benefits provider.  The only difference is that the employees now have the option to handle medical appointments and wellness visits at the worksite rather than at more costly outside providers.  As a result, the costs for operating an onsite health center are 30-70 percent less than paying for a fee-for-service model.

Dozens of onsite health centers popping up across Florida have succeeded with the help of Crowne Consulting Group, Inc. , which partners with Tennessee-based CareHere to handle administration and operations of the onsite health center.

While many private companies have opened their onsite health centers, public entities including cities, counties, and school districts, have led the charge in recent years.

Importantly, the Crowne-CareHere model is completely scalable, which means it can work for employers from small to large.  Crowne Consulting Group has helped self-funded employers in Florida ranging from 175 employees to 8,500 employees.  Employers have managed to save millions of dollars in healthcare costs and decrease their prescription drug expenditures.

See video about Onsite Care Sweeping Florida http://crowneinc.com/2012/10/.

What’s more is that it’s not just the employer seeing the savings – the employees are also reaping the benefits.  Employee utilization remains high because employee health centers offer on-demand medical service for employees, their dependents, and the retiree population for no out-of-pocket costs.