How a modernized fitness plan is reducing overall price of help and making improvements to worker revel in

Like every excellent startup, the copay-only Surest® health plan got here from a gaggle of innovators discontent with the condition quo.

Those veteran insurance coverage innovators requested themselves, what if fitness insurance coverage may paintings like alternative useful client products and services? What if supplier choices and sunny prices had been to be had prior to contributors sought help so folk may store for fitness help like they store for plenty of alternative merchandise?

In 2016, that idea was a truth. In a while thereafter, the corporate that may upcoming be rebranded as Surest, signed its first consumers, and in 2022, it joined with UnitedHealthcare.

How does the Surest plan paintings?

Surest is an employer-sponsored fitness plan to be had to Georgia employers and is obtainable on a self-funded, absolutely insured, or level funded foundation.

With employers of all sizes having a look to battle rising health care costs, Surest residue the one product that may assistance curb emerging fitness help prices with out trimming advantages, narrowing networks or moving prices onto staff.

What makes Surest other? It permits contributors to extra simply examine price and protection choices in advance and gives extra handy, higher get right of entry to. The Surest plan gets rid of obstacles like deductibles and coinsurance.

In lieu, throughout the Surest app, contributors can examine help choices and community suppliers and notice untouched prices within the mode of a unmarried copay — now not prices estimates. Copays are decrease for suppliers evaluated as higher-value, in accordance with while effectiveness or price potency information.

With Surest, there are not any amaze expenses, and contributors have get right of entry to to the large, nationwide UnitedHealthcare and Optum Behavioral Fitness networks. This reimagined fitness plan helps release overall prices of help:

• As much as 15% financial savings for employers¹
• 50% reasonable decrease member out-of-pocket spend²
• Time-over-year clinical development used to be not up to 5% sustained throughout 4 years³

Why does Surest paintings? 

Since 2022, Surest has grown from serving 1 in 9 of UnitedHealthcare’s biggest employer purchasers to one in 4 these days. With numbers like that, it’s negative miracle that once employers are first offered to the plan some react with: “It’s too good to be true.”

“Our broker explained the magic in the sauce is really through the decision-making of the employee,” said Maria Freda, Chief Client Finance Officer for Horizon Media in New York City.

Placing contributors within the driving force’s seat in their fitness help has paid off: In step with a third-party learn about, Surest clinical and pharmacy spend used to be 7.5% decrease in 2021 and seven.7% in 2022, in comparison to the keep watch over team.⁴

Surest can assistance contributors higher get right of entry to suitable help in the most efficient environment for his or her wishes. In comparison to a keep watch over team, Surest contributors had:⁵

• 14% fewer disaster room visits
• 17% fewer surgical procedures
• 4% much less complicated imaging (MRI/CT)

Surest contributors additionally impaired extra environment friendly products and services extra ceaselessly than the keep watch over team:

• 698% extra digital visits
• 8% extra preventive visits
• 19% extra bodily remedy visits

The Surest fitness plan could be a win-win for employers and the team of workers. Consult with www.Surest.com to be told extra.

Footnotes

1. Surest actuarial effects via 2024.
2. Individuals who migrated from a non-Surest plan to a Surest plan in 2022, when compared to people who stayed with a non-Surest plan.
3. The Surest book-of-business demographic, adjusted compound annual enlargement charge from 2019 to 2023 used to be 4.6%.
4. Aon’s Value Potency Size of Surest 2021-2022, March 2024.
5. Learn about evaluating Surest monetary and usage results to a matched keep watch over team composed of non-Surest contributors from the similar employers, the use of the similar community. Individuals had been matched on presen, gender, geography, and protracted statuses.