Self-Funding Considerations

When rebuilding a Self-Funded plan, it's crucial to consider all of the "point solutions" that may be involved. These can include Rx vendors, Direct Primary Care programs, Disease-specific options, reimbursement applications like RBP or High-performance networks, and more. Integrating these programs into your member engagement plan is key to preventing member disruption.

It's important to ensure that these systems or programs communicate with each other, as miscommunication can lead to issues with cost and quality of care. By acquiring data from the point solutions that support their sales pitch, employers can make sound decisions and get appropriate pricing from Stop Loss.

Remember, the "one phone number" on the card should lead to someone who can provide direction to maximize the benefit, cost, and quality of care. Choose an administrator who can provide many or all of these programs under one roof, or one that does a good job of integrating different vendors into their systems.

Stay informed and make the most out of your Self-Funded plan!