Employee Healthcare Costs
– Forecasting for 2018

Crowne Healthcare Costs Forecasting 2018As employers across America look ahead to 2018 budgets, experts predict the keys to successfully maintaining a healthy bottom line will be controlling actual service costs while also reducing medical risks.

According to projections from PwC Health Research Institute (HRI), medical costs in the 2018 employer insurance market will grow at a slightly faster rate than 2017.  HRI’s latest edition of “Behind the Numbers” lists price of services and rates of utilization as the leading factors affecting 2018’s projected 6.5% medical-cost trend.

“In a competitive labor market, employers are looking for new cost containment strategies beyond shifting more costs to employees,” according to HRI’s report, which also recommends employers take action by considering customized worksite-health-promotion programs, drug-spending evaluations, and a stronger focus to “tackle price” on provider arrangements.

An increasing number of employers are now choosing self-funded health plans as a first step in combating costs. Self-funded employers pay medical costs for services without paying insurance premiums to carriers each year. Notably, most self-funded plans will require reinsurance or a separate stop-loss policy for catastrophic events in order to financially manage long-term risks or losses.

Benefits experts can help organizations easily transition to self-funded programs.  Once self-funded, employers are positioned to mitigate risks and lower expenses through the customization of healthcare programs for employees, retirees, and their dependents.

“Shifting to self-funded plans and focusing on preventative care are two ways budget-minded employers in today’s market are achieving the greatest return from healthcare investments,” said Ray Tomlinson, president of Crowne Consulting Group, a benefits-planning firm specializing in self-funding and the operation of over 30 onsite and near-site employee health centers.

Employers are launching onsite health and wellness centers for plan members to combat rising healthcare costs.  Onsite healthcare specifically attracts self-funded groups because medical visit costs are paid directly by the employer without claims being filed through the more expensive fee-for-services model typically conducted by Group health insurance programs.  With an onsite-care model, however, the employer controls spending by paying significantly lower costs.

“Self-funded employers can substantially cut costs through customized risk management and on-site care programs, while patients reap the benefits of no out-of-pocket costs and easily accessible primary care, disease management, screenings, x-rays, wellness, and prescriptions,” said Tomlinson.

Crowne Consulting Group’s clients have included school districts, cities, counties, sheriff’s offices, and private organizations.  Contact Crowne or call 407.654.5414 for information and employer solutions.

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.