Employer Groups Leverage the PLEXIS Platform for Better Benefit Administration
“Self-insured group health plans now provide coverage to the majority of U.S. employees and dependents” –KFF Survey, 2014.
An increasing number of employer groups are embracing the proven strategy of self-administering their self-funded health plans. Self-funding offers significant value through greater cost containment opportunities, customized plan coverage, ownership of claims data, and an increase in employer cash flow. Self-insured employers leverage the PLEXIS platform to coordinate better benefit administration; improve the cost and quality of care; meet cost containment goals; and optimize transparency and risk management for self-funded success.
The PLEXIS platform delivers demonstrable return on investment
For the past 20 years, PLEXIS has enabled self-funded employer groups to lower costs and offer attractive solutions for their clients including innovative benefit plan design and automated, accurate processing for claims and premiums. PLEXIS’ integrated clinical, financial, and administrative payer platform optimizes administrative processes and improves communication and collaboration with outside vendors in every field from provider networks to pharmacy benefit managers (PBMs).
The PLEXIS platform solution delivers powerful risk management tools to empower plan sponsors with extensive control over the process of claim adjudication and resolution. PLEXIS supports repricing workflows and offers significant cost savings with auto-adjudication, automated online enrollment, and other enhanced efficiencies. In today’s competitive market, PLEXIS provides self-funded groups the option to deliver value-added services such as mobile-enabled member/provider portals and health and wellness features, which include Telemedicine, access to health-related news and videos, healthcare advocacy programs, etc.
PLEXIS partners in the success of employer groups by empowering them to offer a more comprehensive and valuable set of solutions.