Services

Custom Health Plan Design

We start with your population, not a carrier spreadsheet. Together we design a benefits program that balances access, cost, and competitiveness.

• Fully insured and self-funded plan strategies
• Medical, dental, vision, and telehealth solutions
• Network and carrier evaluations
• Contribution and plan tier modeling
• Employee communication and enrollment support

Pharmacy Benefit Management (PBM) Strategy

Pharmacy is one of the fastest-growing areas of spend. We help you understand your data, negotiate smarter contracts, and manage high-cost categories like GLP-1s.

• Independent PBM contract reviews and RFP support
• Formulary and utilization analysis
• GLP-1 and specialty drug management strategies
• Clinical program and prior authorization oversight
• Member experience and communication strategies

Stop-Loss & Risk Protection

Protect your self-funded plan from unexpected high-cost claims with well-structured stop-loss coverage.

• Stop-loss marketing and placement
• Specific and aggregate coverage strategy
• Ongoing claims monitoring and reporting
• Advocacy on large and complex claims

Ongoing Advisory & Analytics

Benefits are not “set and forget.” We provide the ongoing analytics and guidance needed to keep your plan on track.

• Regular stewardship and strategy meetings
• Claims and utilization reporting
• Benchmarking against peer employers
• Renewal negotiation support with carriers and PBMs
• Compliance guidance in coordination with your legal resources