Your margin is the difference between your maximum claims liability and your actuarially expected claims. And unlike fully insured options, you get to keep your margins — saving you substantial money year over year.
Say goodbye to the days of fixed annual costs, limited claims data and predetermined pharmacy services. With Evolution, transparency is the name of the game.
We’ll establish intervention programs for at-risk plan members and cost-savings programs to deliver the most insights into spend. We offer Utilization Management, Case Management, Disease Management and Risk Management.
Quality data puts you in control of your plan and your money. With Evolution Healthcare, you’ll have an interactive reporting dashboard based on all medical and pharmacy claims, member eligibility and coverage levels. Drill down and analyze demographics, risks, financials, quality measures, clinical outcomes, utilization stats and plan performance compared with industry trends and benchmarks.
Member satisfaction is at the heart of everything we do. Our customer service center is open 24/7/365 with calls streamlined through one toll-free # and answered in less than :30 seconds with an abandonment rate of under 3%.
Members will feel empowered and connected through services like MyNurse 24/7, Teledoc, lifestyle coaching and mobile messaging.
We help you make sure your plan is always maximizing your cost-savings. We understand the frustrations of finding your way through the changing landscape of healthcare benefits. We have experts that will guide you toward the ideal healthcare benefits for your company – completely customizing the plan to ensure the highest possible savings.
Our plans are never off-the-shelf. Each health plan is as unique as your workforce. The very best components from online benefit management tools, pharmacy benefits, the largest PPO networks in the country, more than 20 reinsurance carriers and high touch plan administration all come together to deliver a highly customized health plan that fits your specific business needs.
By using the latest technology we integrate your health plan, human resource and payroll administration into one seamless platform. Your dedicated integration and implementation team will work with you every step of the way to set up and implement your HRIS systems. Speed and accuracy are guaranteed.