Challenges

1. Attracting and retaining employees to work in their urban stores
2. Low income employees who can’t afford to absorb healthcare costs
3. Employees don’t typically seek preventive or “early intervention” healthcare
4. Providing strong benefits while still managing cost
5. Too paper intensive administration process
6. Confusion with multiple bills
7. Limited internal resources
8. Lack of administration and COBRA compliance
9. Lack of employee understanding and appreciation of benefits program

Action
RSI partnered with this company and their insurance provider to analyze claims and health risk assessment data. As a result of this detailed analysis a series of initiatives were outlined, including:

1. Restructuring of the plan design
2. Increased attention and focus on employee education
3. Developing incentives to encourage employees to seek intelligent preventive & early intervention care
4. Analyzed all current admin processes
5. Outsourced administrative activities to RSIA
6. Created consolidated enrollment forms
7. Established compliant automated admin process
8. Developed payroll stuffer campaign
9. Created employee total compensation statements

Results
Early indications (continual data analysis being performed) are strongly favorable and show marked improvement in several areas:

1. Employees “thrilled” with plan changes ($0 office visit copay)
2. Feedback from recruiting that this one change has them “standing out”
   in attracting new employees
3. Increased participation of employees in disease and case management programs
4. Increased participation of women in early pregnancy and mammogram programs
5. No increases in claims cost per member