HealthEZ Announces New Cost-Reducing Product Solutions for Employers
2024年7月19日 - 5:46AM
ビジネスワイヤ(英語)
Introducing Cigna OAP and Medical Infusion Carve-Out Program
HealthEZ, an innovative third-party benefits administrator,
announces the launch of several new product solutions aimed at
helping self-funded and level-funded employers achieve significant
cost reductions of up to 20% or more. These additions build upon
HealthEZ’s renowned Cost Containment methodology, enhancing
clients’ Discount Methodology, Smart Coverage Design, and Access
Management capabilities.
Discount Methodology Product Solutions
HealthEZ has expanded its national network solutions by
introducing Cigna Open Access Plus (OAP) and Cigna Local Plus in
key markets nationwide. These new offerings emphasize greater
discounts and feature high-quality, cost-effective providers. Cigna
OAP, an exclusive network by Cigna Health Plans, delivers discounts
4% better than standard PPO networks. Additionally, HealthEZ
introduces Cigna Local Plus, strategically designed to include
top-tier, lower-cost providers across 30 national markets,
potentially reducing plan costs by up to 9% compared to traditional
PPO plans.
Access Management
Having pioneered alternative pharmacy benefit programs, HealthEZ
has achieved 29% lower costs than industry benchmarks for
self-funded health plans over the past decade. Building on this
success, HealthEZ launches the Medical Infusion Carve-Out (MICO)
program, targeting over 275 high-cost specialty infusion services.
Introduced in beta in 2023 and now broadly available, MICO has
demonstrated savings ranging from 30% to 70% compared to PPO
network contracts.
Josh Schreiner, Chief Product Officer at HealthEZ, commented,
“Employers facing escalating drug costs are reevaluating health
plan and pharmacy benefit structures. Our new solutions for
self-funded and level-funded health plans offer another effective
tool to provide high-quality, cost-efficient health benefits while
controlling expenses related to conditions like Oncology, Crohn’s
Disease, Psoriasis, Ulcerative Colitis, Rheumatoid Arthritis, and
more. This program not only delivers savings on stop-loss premiums
and eliminates lasers, but also helps maintain flat renewals,
benefiting employers, members, and providers alike.”
More on MICO:
MICO focuses on reducing costs for over 275 high-cost specialty
infusion services through innovative approaches such as
Manufacturers Assistance Programs (MAP) and HealthEZ’s proprietary
Cost-Plus solution. This program ensures financial relief for
members burdened by medical infusion expenses while preserving
access to premier centers of excellence. HealthEZ’s bundled Care
Advocacy program simplifies the process for providers and members,
ensuring seamless care and substantial savings for plan sponsors
and members.
HealthEZ will host a webinar on Thursday, July 25th to delve
into the program details, present case studies, and offer insights
on how HealthEZ can assist in reducing specialty drug costs.
Register for the webinar here.
About HealthEZ:
Based in Bloomington, Minnesota, HealthEZ is a national
independent third-party health benefits administrator of
employer-sponsored, self-funded medical plans and America’s PPO,
the nation’s first preferred provider organization. HealthEZ is on
a mission to make health insurance easy to understand and more
efficient from provider to patient and the employers who fund their
plans. The company partners with employers throughout the United
States to deliver better access to healthcare for their employees
while ensuring value and improving outcomes. More information about
HealthEZ can be found at healthez.com.
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Paige Schmidt Marketing Communications Specialist
paige.schmidt@healthez.com