A plan sponsor who considers adding or changing the managed care component of a medical benefit program faces significant challenges. Whether considering a new PPO, HMO, or POS program, there is one common reality: not all managed care networks are created equal.

The promised savings may never become real unless alternatives are carefully analyzed. Using our experience, we assess employee access to the potential network, the network’s quality and stability, and help negotiate performance standards.

But, even more important for our clients, by linking our benefit consulting experience with our knowledge of the provider risk market, our consultants are uniquely qualified to help plan sponsors assess promised savings by asking the right questions about the nature of underlying provider agreements within a network, and the reimbursement basis used to pay providers.