The Impact of DPC on Employer Stop Loss

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Information about The Impact of DPC on Employer Stop Loss

Published on June 12, 2019

Author: Hint-Health

Source: slideshare.net

1. Spencer Brydon Allay The Impact of DPC on Employer Stop Loss

2. 2 PHOTOSHOP FRIDAY

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7. 7 Simplified underwriting and marketing for self-funded health plans. BACKGROUND Spencer Brydon |

8. 8 COST STRUCTURE Admin Claims Stop Loss Self-Funded Health Plan

9. 9 BUILDING A CASE Removed financial barriers Better access to physicians Improved, ongoing communication Downstream navigation

10. 10 U/W RESULTS Discount for inclusion of DPC in a self-funded health plan 0-10%

11. 11 U/W CONSIDERATION Fee setup Proximity to members Plan design Downstream support & navigation Track record & ability to deliver Covered services

12. 12 STARTING POINT $132k $658k $364k Admin Claims Stop Loss $1.15M Expected Cost 100 EE’s (180 members) Cost avgs from Allay

13. 13 WITH DPC + $172k - $33k Admin Claims (5% discount) +$139K or $772 per member per yr ($80 pmpm)

14. 14 CALL TO ACTION Collect data Build case studies SHARE YOUR RESULTS! Spencer Brydon spencer.brydon@allay.io

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