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An automated system that deeply engages healthplan subscribers
in the process of choice and decision, provides genuine and
helpful interactive decision tools and reliable medical
information, realigns financial incentives to encourage
maximum utilization efficiencies, enables reconnection of
the patient-doctor relationship and, ultimately, provides
permanent/fully-portable health insurance protection
effectively ending the reliance on one's employer for
health insurance coverage.
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Plan Sponsors will see base premium reductions in the range
of 20 - 50% in comparison to traditional healthplans. The
premium differential is then used to fund the Plan
Member's Medical Investment Accounts (MIAs)-an HRA
funding vehicle. At the Plan Sponsors discretion, a slight
reduction in MIA allocations will significantly reduce
their overall healthplan expense. Additionally, Plan
Sponsors will save considerable sums in the reduction of
administrative expense, both from a human resources
perspective and in direct reduction in healthcare costs.
Lastly, because the MHS is a highly sustainable and
balanced system, future healthcare premium increases will
be substantially less than traditional healthcare models,
and should more closely parallel general inflation factors.
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Yes. Numerous organizations have indicated initial
successes in cost reductions with CDHC programs. Recently,
Humana, Inc. reported that their CDHC plans have slowed
premium increases to 5% versus their standard plan rate
increases of 14%.
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The MHS is unique to the healthcare industry. It offers
benefits unlike any other:
- Coverage permanence and portability
- A three dimensional bridge option feature
- True group consolidation
- An incremental implementation process
- Unique credit bridge offering
- True defined contribution health benefits mechanism
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No. Much of the savings realized to Plan Sponsors is
generated by consolidation of their entire workforces
into a large predictable risk pools. Additionally, The
MHS is a closed system, and necessarily relies on the
contractual participation and service delivery of each
of its participants.
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Yes. Participating insurance Carriers offer their own
Preferred Provider Networks, but Plan Sponsors may
replace or augment existing networks with proprietary
offerings.
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Consolidation of the Plan Sponsor's entire work force
enables far greater efficiencies then offering numerous
competing traditional healthplans which fragment the
given risk pool.
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For Plan Members selecting the MedInvest option
(HDHP coverage), a unique credit bridge system
eliminates any potential for large out-of-pocket costs
typically associated with HDHPs. Approved medical
expenditures that are credited to Plan Member's accounts
are paid down by future Plan Sponsor allocations to the
Member's MIA. After a credit balance is extinguished,
the Member's MIA will again begin to accumulate a
positive balance.
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Similar to the 401(k) pension revolution of the 1990's,
defined contribution healthplans provide a level of
personal independence, empowerment and freedom that
defined benefits programs cannot. More than ever before
Plan Members desire permanent healthcare protection that
exceeds COBRA and HIPAA's limited protections. Defined
contribution benefits programs provides a mechanism to
deliver health benefits, while freeing Plan Sponsors
from the onerous burden of ongoing healthplan
negotiations and renewals.
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The MHS boasts an exceptional array of online decision
tools for Plan Sponsors and Plan Members alike. These
tools are designed to closely proximate a user's unique
and specific needs, and provide a detailed graphical
analysis for the users consideration.
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Benefit changes are always difficult. Radical benefit
changes are destined for failure. This is why the MHS
is designed with unparalleled flexibility in plan design,
and provides a "graduated" implementation approach. Plan
Sponsors may offer up to three front-end options to Plan
Members; HDHP, Indemnity plan, and a PPO type plan. Plan
Members will essentially see the same options (less HMOs)
that they are used to choosing from in the past. While
the MHS offers the appearance of three healthplans to
Plan Members, it remains, in fact, a highly efficient
consolidated single healthplan.
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- Engaged Plan Members in free-market healthcare system will elicit positive change
- Empowered Plan Members will have resources and information to take action
- "Ownership" of coverage, independent of employment status, will liberate Plan Members
- Personal financial growth incentives will rectify inefficiencies in current system and serve as the ultimate cost containment mechanism
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