The Benefits Optimization Review

See where your healthcare dollars go before you renew again.

An independent, executive-level review of your entire program. In many organizations, 10 to 30 percent of current healthcare spending may be avoidable. This is how you find out whether that is true for yours.

The Process

Five steps. About 90 minutes of your time.

  1. Step 01
    Discovery Meeting

    20 minutes on Teams. Your goals, your frustrations, your timeline.

  2. Step 02
    Data Collection

    Census, claims, invoices and contracts. An NDA is in place first.

  3. Step 03
    Analysis

    Two to three weeks. Cost, funding, pharmacy, compliance and benchmarking.

  4. Step 04
    Findings Presentation

    60 minutes. One written report with dollars attached to every finding.

  5. Step 05
    Implementation Roadmap

    A prioritized multiyear plan. You decide what to act on.

What it costs, stated plainly

If a consulting firm charged for this diagnostic, it would typically be a $2,500 to $5,000 engagement. For qualified employers with 20 or more employees, it is complimentary. There is no invoice, no obligation to change brokers, and no requirement to act on the findings.

What Is Reviewed

Everything that drives the number on your renewal letter.

What is it?

An independent, executive-level review of your entire healthcare and benefits program.

What will you learn?

Where your healthcare dollars go, what is recoverable, how you compare to peers, and where your compliance exposure sits.

What is reviewed?

Medical and Rx claims, funding arrangement, stop-loss, PBM contract, plan design, contributions, broker scope of services, compliance file and renewal history.

How long does it take?

About three to four weeks from data delivery, and roughly 90 minutes of your time in total.

What do you get?

A written executive report, a quantified opportunity list and a multiyear implementation roadmap.

What happens afterward?

You decide. Act on it internally, take it to your current broker, or engage me. There is no obligation and no invoice.

Problems This Solves

If any of these sound familiar, the review will help.

  • Healthcare costs increasing every year
  • Renewal frustration and last-minute decisions
  • Pharmacy costs no one can explain
  • Unclear broker communication and scope
  • Fiduciary and CAA 2021 compliance concerns
  • Captive program evaluation
  • Self-funding feasibility analysis
  • Alternative funding strategies
  • Benchmarking against peers
  • High-cost claimant risk
  • Employee contribution strategy
  • Open enrollment improvements

Questions Employers Ask

Straight answers before you commit time.

When should we evaluate our employee benefits?

Six to nine months before your renewal date. That is enough runway to analyze claims, test funding alternatives and negotiate from a position of information rather than deadline pressure.

Do you only work with companies changing brokers?

No. Most reviews begin with no decision made. Many employers use the findings with their existing broker. The analysis is yours either way.

Can you help if we are happy with our current broker?

Yes. A second set of eyes on claims, pharmacy contracts and funding costs nothing, and often confirms you are in good shape, which is a useful thing to be able to prove to ownership.

What company size do you work with?

Employers with 20 or more employees, most commonly between 20 and 2,500.

What happens during the Benefits Optimization Review?

A 20-minute call, an NDA and data exchange, two to three weeks of analysis, and a 60-minute findings presentation with a written report and a prioritized roadmap.

How are you compensated?

Through standard broker or consulting compensation, only if you engage me, and disclosed in writing before you decide. The review itself carries no invoice.

Next Step

Your data is already there. The analysis is the missing part.

Twenty minutes to see whether a review makes sense for your organization.

20-minute conversation. No cost, no obligation, no sales pitch.