The Solutions Suite by CCStpa

Transcription

1 The Solutions Suite by CCStpa A portfolio approach to health benefits administration Simplicity packaged for the value-conscious Classic only what you need and want Custom as unique as you are

2 Your needs. Our experience. Welcome to CCStpa, where your unique needs and our experience, flexibility and resources come together to create your best-fit health care solution. The Solutions Suite by CCStpa is a portfolio of administrative solutions built on 30 years of experience serving the self-insured marketplace.» The CCStpa advantage Largest and most experienced third-party administrator in Minnesota and bordering counties Access to the deepest provider discounts through our proprietary networks and PPOs Innovative portfolio approach providing economical and flexible administrative designs Expert guidance, robust reporting and modeling to identify and address cost drivers Key relationships with affiliate companies and preferred vendors Best-fit benefit designs at the best overall value

3 » Our clients tell us CCStpa is hitting the mark, with a 97 percent customer satisfaction rating and an overall satisfaction score of 4.69 out of 5. 1» Here s what they are saying 3 : We have a really knowledgeable representative; they understand our policy needs and can answer any questions without delay. Our plan is somewhat unique and CCStpa has done a great job administering it. CCStpa is accurate, prompt and reliable. When I call I get great customer service. It is a seamless process when we have claims and we are very happy with CCStpa. As the largest third party administrator based in Minnesota, 2 we know how to build you the most effective self-insured health plan coverage. We are the only one who can provide you access to the most comprehensive network in the state. We will be at your side consulting with you to maximize efficiencies, minimize costs and reach your business goals. It all starts with your CCStpa representative, who will take time to identify and understand your company s needs. Then we work together with you to develop a comprehensive solution to keep your health care costs down. Our experience and relationships with affiliated companies and preferred vendor partners can provide you with the right balance between best-fit benefit options and key business drivers like cost and control. We can also integrate your preferred vendors as well. Together we ll develop the best approach to meet your needs at a cost that makes sense. Proven satisfaction CCStpa prides itself on providing the support you need. We become part of your team, getting to know you and your business and working to ensure your satisfaction. In fact, our clients gave us a 4.69 overall satisfaction score on a 5-point scale where 5 meant very satisfied. When asked if they would be likely to recommend CCStpa to others, more than 9 in 10 surveyed said yes. 1 We are very proud of these consistently high satisfaction ratings received year after year and strive to exceed your expectations with our every interaction. Why a portfolio approach? Our experience has shown that there are likely combinations of benefit administration requirements. CCStpa has examined these common threads and set out to engineer the best possible solutions to bring the greatest value to you.

4 Employer 1 Employer 2 Keep It Simple Company* I just want a simple, inexpensive plan design and I am willing to make some tradeoffs to get the best value I can for myself and my employees. Bob Basic owns Keep It Simple Company, a family-owned manufacturing company with 80 employees. Most of Bob s employees are young and healthy. He wants to offer them solid health care in case they need it as part of his employee benefits package. But money is still tight due to economic factors and has Bob watching all expenditures. He doesn t want anything complicated with lots of extras. If you identify with Bob, we suggest you take a look at our Simplicity products. Our three pre-packaged solutions all designed to provide excellent basic health care coverage allow you to decide which value-based plan is right for you. We ve put our experience to work and bundled benefit options that provide the greatest value at the best possible cost. Select, Inc.* My goal is to offer the benefit options that are important to our employees but I don t want to pay for coverage beyond what we need. If I could simply get the right options and have you administer the plan within my budget, I would be happy. Connie Classic is the Human Resources Director at Select, Inc., an IT-consulting company with 400 employees. She needs to provide a benefit solution that fits their multi-location population but doesn t contain options they don t need. She wants a health plan design that allows her to keep the best options to provide a competitive benefits package and attract and retain employees while meeting budget restraints. If you and Connie are facing the same challenges, the CCStpa Classic approach may be your best solution. You get the benefits you want without extras that you don t need. CCStpa then seamlessly implements and administers your plan processing claims, generating reports and providing you guidance every step of the way.

5 Employer 3» Regardless of which example employer you identify with, you can be confident the CCStpa portfolio approach affords you multiple options to arrive at your best-fit solution. My Way Manufacturing* I know with our traditional plan we are paying for health care benefits that our workforce is not utilizing. I need a way to provide only what we use, eliminate the excess and integrate the data into our company analytics. Charlie Custom is CEO of My Way Manufacturing, a precision parts company with 300 employees. His plant is located near the state border and draws employees from both states. Charlie has some pretty aggressive financial goals, which mean all departments must adhere to budget reduction measures beyond what they have done in the past. Charlie relies on very specific data to direct him to tradeoffs where savings can be realized and wants his company to operate his way. If you are like Charlie and rely on very specific custom-generated data to drive your business decisions, we can get you all the details you need with our CCStpa Custom option. At CCStpa we address unique plan administration and reporting requests for organized labor groups, tribal nations, health care providers and the Charlies who want it all their way. The Solutions Suite by CCStpa Simplicity Pre-packaged plans to yield the most economical coverage Classic You select coverage options only what you need and want Custom Coverage and administration totally tailored to your unique requirements *The examples are fictitious and are not intended to represent any actual company or personnel.

6 Take control of your plan Reporting and modeling tools based on your population Stop-loss protection Online Client Center Medical management programs The key to your cost savings With CCStpa at your side, you can rest assured that your benefits package will have the features you want, at a cost you can afford. Our experts understand cost drivers, what influences health care decisions and the challenges to manage it all. With that knowledge, we ve developed strategies to keep costs at a minimum through plan management, network choices and employee wellness services. Taking control of your plan Whether you select one of the pre-packaged Simplicity solutions or tailor your plan in every way, CCStpa will integrate and administer your plan components to deliver the best value. Inherent in our solutions are multiple ways to help you manage and control your plan. Opting for a self-insured health plan allows you to more fully understand your specific population through aggregate member claim data. That data, when fed into our powerful reporting and benefits modeling tools including Zywave, help you understand what s driving your health care costs. We consult with you and help analyze the data by turning complex figures into meaningful, actionable information. Select from our in-house stop-loss partner MII Life, Inc., other preferred carriers or one of your choice to balance coverage with financial priorities for a more predictable risk. Our medical management and data integration allow us to get to the root of major claims cost drivers in your plan. We get involved at the early stages of hospitalization and at a lower dollar threshold than many other medical managers, saving you money. We work with providers and patients to make sure that services provided are medically necessary and delivered in optimal settings. In addition, our case managers work with your employees who have» Our online Client Center provides you control over your administrative tasks with immediate access to your enrollment, maintenance and reports. You re in the driver s seat 24 hours a day, seven days a week.

7 complex or catastrophic conditions and their health care providers to develop treatment plans. This reduces the potential for costly medical complications and increases the likelihood of achieving successful recovery. Building the right network strategy We ll work with you to build a network strategy that makes sense for you given where your people are located. Choosing the right network to meet your employees needs will encourage them to stay in-network when they make care decisions and in-network care is the most economical. Our proprietary network covering Minnesota and bordering counties includes nearly all doctors, hospitals and other health care providers providing you with the deepest discounts. We also have very comprehensive PPO network relationships covering other states, regions or nationwide. Engaging employees to live healthier Research shows that a healthier workplace means reduced costs. CCStpa offers a clinically developed health and wellness program to encourage and support a healthy lifestyle. Your employees have access to core wellness programs such as: online personal health assessment e-coaching and courses exercise/meal planners health trackers stop-smoking support You also have the option to add additional programs like: biometric screenings telephonic lifestyle coaching incentive program administration comprehensive condition support 24-hour nurse advice line prenatal support enhanced stop-smoking support fitness discounts employee assistance program (EAP) A healthier workplace means reduced costs Healthy employees experience lower levels of absenteeism due to illness 4 Unhealthy behaviors of the U.S. workforce cost employers an average of $670 per employee each year 5 Medical costs fall by about $3.27 and absenteeism costs fall by about $2.73 for every dollar spent on wellness programs 6 At your service. At your side. Regardless of which approach in our Solutions Suite works best for you, it s good to know you have the guidance and support of an expert TPA team at your side. Ready to find your best fit? Contact your CCStpa account manager or agent.» Choose in-network providers to save. Your employees have access to find a doctor tools on our online member service center at ccstpa.com. Here they can choose an in-network care provider and compare.

8 Visit ccstpa.com To find out more, visit ccstpa.com for detailed information about our products and programs. You can also connect to our support applications such as the online CCStpa Client Center, online member service center, online provider information and many other helpful tools. Comprehensive Care Services, Inc. P.O. Box St. Paul, MN Toll-free: , ext CCStpa internal client satisfaction survey, Twin Cities Business Journal, June 15, CCStpa internal client satisfaction survey, Centers for Disease Control Workplace Health Promotion, Workforce Wellness Index, Thomson Reuters, February 2010 Study by Baiker, et al. published in Health Affairs Comprehensive Care Services, Inc. F9447R02 (12/12)