Now is the time for self-insured plan sponsors in Texas to reconsider the value of your health plans.
Right now, an opportunity exists to take back control of healthcare costs, embrace innovation and improve the overall quality of care in the world’s largest healthcare market.
We believe this is a time for optimism. When we can all finally return to the doctor, Apostrophe members will do so with confidence knowing our smart shopper program is saving them money.
When we talk about the future of healthcare, we anticipate a substantial period of recovery in which providers will seek to recoup losses. To do so, cost of care and treatment will increase and legacy insurance rates will rise in response.
Texans pay 244%* over Medicare rates for their healthcare. It’s the 7th highest markup over Medicare rate in the U.S.
It’s too soon to know what will happen to that rate as part of the post-COVID recovery. Are you prepared for the expense when healthcare costs increase?
Apostrophe Intelligent Health Benefits are uniquely positioned to take on this challenge and put our self-insured plan sponsors ahead of the “what’s next” curve.
FIXING HEALTHCARE IN AMERICA STARTS WITH HOUSTON PLAN SPONSORS
Apostrophe’s Intelligent Health Benefits put the self-funded plan sponsor back in control of spend and experience.
We took the direct-purchase plans modeled by Lowe’s and Boeing and made them accessible to mid-size, self-insured plan sponsors. It’s no longer a luxury reserved for the biggest corporate players. It’s a necessity your members deserve.
With Apostrophe, your members enjoy better benefits for less money. Intelligent Health Benefits include:
- All providers treated as in-network. We eliminated confusing rules and penalties.
- Cut out middlemen with common sense purchasing. Save with direct contracts, cash pay, and referenced-based payments.
- Smart shopper and $0 care options. Members save on out-of-pocket expenses by choosing our partner providers.
- White glove Member Care. Advocacy and expert support to navigate the healthcare system.
SMART SHOPPER SAVINGS ARE EASIER TO TRACK THAN A HURRICANE
When health systems and private physician practices re-open, they’ll work to quickly overcome the financial losses incurred during the closure. Their patients will pay for it. Apostrophe Members won’t feel that strain, though, with smart shopper rates helping to insulate them from any reactionary rate hikes.
In fact, we expect these rate increases to change member behavior for the better:
- Greater reliance on Apostrophe’s existing suite of virtual healthcare tools
- Shopping around for the best treatment and care options
- Cost-conscious decision making
Apostrophe smart shopper program enables our members to be more informed, smarter healthcare consumers. This is what Better Benefits for Less Money looks like in action.
The process of researching providers and fair rates against benefit availability can be overwhelming. But when our members need a procedure or treatment outside of standard office visits, Apostrophe smart shopper helps them identify high-quality and cost-effective options right here in Texas. The advocacy of white glove Member Care ensures that our members feel supported and informed when making healthcare decisions.
“I am thrilled to be able to see [my doctor] and I’m a little overwhelmed (happy) by the $0 cost for the surgery!!,” one member told us after Member Care secured a zero-dollar option.
Apostrophe smart shopper is available for:
- MRI or CT at free-standing imaging centers
- Outpatient or elective surgery
- Musculoskeletal pain management, e.g. virtual physical therapy
Both HSA and non-HSA plans get the benefit of bundled case rates. Non-HSA plans have access to $0 member cost benefits, and HSA plans may have opportunities for account credits.**
HOUSTONIANS DESERVE BETTER BENEFITS FOR LESS MONEY
In the fourth largest city in the U.S., heart disease is the leading cause of death, followed by cancer and stroke. Life expectancy for its top 5% of earners has increased by three years, but the lowest 5% of earners saw no improvement. Nationally, Houston ranks 48th for life expectancy, while Harris County ranks 61st.
In May 2019, workers in the Houston-metro area earned about 50 cents more per hour than the U.S. average, but low-skill jobs actually earn lower wages than national averages.
“Over the past three decades, gains in income and wages have gone largely to the very top earners, while wages and incomes of working class and middle class workers have declined or stagnated,” reported the City of Houston.
In Texas’ largest city, health insurance deductibles, copays and out-of-pocket expenses all rose between 2016-2018, costs that greatly impacted those most affected by the wage gap.
Consider that this was all the state of things before the pandemic. There’s no way to know how Houston’s economy will respond.
Every year, your fund renews its legacy healthcare plan with worse benefits for more money. With each renewal, you’re perpetuating a broken system that the members pay for. At the epicenter of world-class care, you’re cornered by above-market rates demanded by providers in all lines of business.
Now is the time to change everything with better benefits for less money.
If you’re a self-insured plan sponsor in Houston, we’d like to calculate the savings you’ll see when you switch to Apostrophe Intelligent Health Benefits.
Let’s talk before your next renewal.
*2019 Rand Report
**Dependent on plan design