What could YOUR organization do with 10-30% savings in healthcare spend?
Invest more in other disease or care management programs?
Start a tuition reimbursement program?
Fill a needed position?
Increase retirement contributions?
Buy a new piece of equipment?
Every one of our clients has a different need or objective. Through our proprietary IDEAL Profile, we’ll help you identify yours and then create a Group Plan Strategy to map the road ahead.
Our cost containment and data analytics are unmatched and bring clarity and confidence to your organization.
Complex Claims
DEDICATED TO LARGE AND COMPLEX CLAIMS REVIEW, MITIGATION, COST REDUCTION AND RISK FINANCING ON BEHALF OF OUR SELF-INSURED CLIENTS.
Our team of clinicians, underwriters, actuaries, attorneys, medical risk underwriters and stop-loss specialists use their expertise to improve on claim saving opportunities and mitigate the volatility of large claims.
Stop-Loss Purchasing Program
THE LOCKTON STOP-LOSS PURCHASING PRACTICE LEVERAGES OUR SIGNIFICANT BOOK OF BUSINESS TO PROVIDE CLIENTS WITH STOP-LOSS RATE PREDICTABILITY.
Our multi-year programs are designed for employers who understand the value of long-term cost reduction strategies for stabilizing medical premiums. Clients maintain flexibility with an individual contract, but leverage our premium volume to ensure gapless coverage and best-in-market contract terms.
Leverage creates market innovation
Institutional carrier relationships
Multi-year rate stabilization programs
Disclosure risk elimination guarantee
Aggregate pooling program
Plan mirroring
Established fully-insured conversion solutions
Best-in-market contract terms
Predictive analytics on emerging and ongoing large claims captive strategies
Pharmacy Analytics
COMPREHENSIVE PHARMACY SOLUTIONS DRIVE EFFICIENCY AND AFFORDABILITY.
The use of pharmacy diagnostics allows clients to maximize value and eliminate waste from their pharmacy program. Our pharmacy experts start by providing clients with a 360-degree review of all pharmacy program components, including pricing, contract, plan design and clinical accuracy. This analysis is based on actual claims data for each and every drug that was prescribed.
Armed with this information, we work with clients to develop and implement a pharmacy program that encompasses the strategies below.
Case Study: Reviewing Specialty Drugs
Lockton regularly reviews high cost claimant data, including specialty drug spend on the medical and Rx benefits.
This is critical because half of specialty drug spend occurs under the medical benefit. Our teams identified a member on Soliris receiving infusions at home through the Medical benefit.
Projected annual cost: $1.3M
Solution: Pharmacy Benefits Practice reviewed clinical guidelines & claim details. Service team requested current billing & dosing details. Lockton obtained pricing through TPA & PBM.
Client Win: Soliris filled through PBM’s specialty pharmacy. Patient continued receiving infusions at home, with their same nurse. HR received no noise.