HEALTHCARE
COST
CONTAINMENT
SOLUTION
NOTE: Costs may increase even more as a result of both the spreading coronavirus and recent legislation requiring health plans to cover testing and related costs for COVID-19.
A Costly Problem
- Healthcare costs increase at an alarming rate and consequently so do employee benefit costs.
- Along with higher co-pays and deductibles, employers are forced to take a bigger cut of their employees’ wages to pay for insurance premiums.
- This creates a bottom-line squeeze for employers already struggling with COVID-19-related losses in revenue.
- This also creates an unsustainable financial burden on families in the form of foregone wages, lower contributions to retirement savings accounts and higher out-of-pocket expenses.
MEET THE
SAVINGS
OPTIMIZER
A comprehensive and highly-effective medical cost-control and savings package that helps employers and employees
SAVE 20-40%
or more on their overall outpatient healthcare spending
– WITHOUT CHANGING THE HEALTHCARE PROVIDER OR INSURANCE PLAN.
Pratter Healthcare Spend Intelligence Report
Identifies and targets top outpatient care spends for savings by procedure name, provider name and real prices paid.
Pratter Healthcare Spend Intelligence Report
Helps employers and employees save 30-50% on routine outpatient care
by making it easy to locate nearby, lower-cost and in-network providers
and by rewarding employees for using them. Searches take just seconds.
Teladoc™ Telemedicine: ZERO-Cost Consults
Reduces costly ER, urgent care and clinic visits. Saves the employer an average of $500 per call and the employee $1,100 per year in out-of-pocket costs.
Teladoc™ Tele-Behavioral Health: ZERO-Cost Consults
100% confidential, full-service virtual therapy sessions
with psychologists, psychiatrists and therapists.
HealthAdvocate™ EAP & Work/Life Benefit
24/7 hotline for personal problems, concerns or emotional crisis as well
as issues regarding childcare, eldercare, legal and financial services.
eDocAmerica™ Doctors Online: No Cost
Access to specialists for advice and 2nd opinions—bringing clarity and
understanding to difficult health care questions through teams of top specialists.
RxValet™ Pharmacy Discounts, Patient Assistant Program, Diabetic Supplies
Offering multiple ways to help employees save 10-85% on prescription drugs and diabetic supplies.
Aetna Dental™ Discounts
Discounts at over 138,000 participating dentists. Employees save hundreds
and companies save thousands with this great discount plan with no upper
cap that beats high dental insurance premiums.
All benefits in this package include the plan subscriber and their immediate family.
LET'S TALK
ROI
Telemedicine ROI*
Restora Health clients average over 56% utilization by the end of 24 months. Average industry utilization when offered as part of a health plan: 2%-10%.
Behavioral Health ROI
*Based on 65,000 behavioral health consults in 2019, average cost to employers was $95 per session less than brick and mortar office visits.
*Teladoc cost analysis.
Pratter SmartChoice Savings Map®
For Lower-Cost Outpatient Care
Outpatient Care Category
Bloodwork
Imaging/CT Scan
Outpatient Surgery Care
Urgent Care (instead of ER)
Average savings per outpatient claim in the following care categories is based on 2019 claims data on a 30,000- subscriber plan covering 100,000 lives and 1 million claims. Claims data from: TX, TN, NC, GA, IN, NC, SC, MI, AL, IL, ME, WA, OH, PA, NH, MO, LA, KS, OR MN NJ, MN.
RxValet™
Care Category
Prescription Drugs
Diabetic Supplies
Patient Assistance Program
Dental Encounter Costs
Traditional Dental Insurance vs. Restora Health’s Dental Solution
Procedures: Cleaning, Filling, Crown
Dental Yearly Cost
Restora Health Yearly Cost
Average Savings Per Employee
Average Savings per Claim
$40
$500
$1000
$400
Average Savings
10-85%
80%
80-90%
$1300
$814
$500
THE NAME
OF THE GAME
IS RESULTS!
No matter how good benefits sound on paper, they accomplish nothing if they are not used.
Ask us about our proprietary engagement program that drives the highest utilization in the industry.
