Controlling Costs at Renewal

Increased Surplus by $1.7 Million in One year

Return to Case Studies

$1.7+ MILLION

Increased surplus retained in one year

47%

Reduced claims spend over one year

$350k +

Saved more than $350,000 in claims through med & Rx intervention

The Situation

VIRGINIA

376 EMPLOYEES

Our broker partner had successfully built a block of business by transitioning clients to a self-funded platform; however, the group was having difficulty managing claims and started to experience significant increases in their medical stop-loss premium at renewal, making self-funding unstable for these groups.

Partnership

Crumdale Partners worked alongside the broker to understand the current suite of vendors serving the group of accounts to identify improvements that could be implemented.

The Results

IMMEDIATE RESULTS

Crumdale Partners successfully stabilized costs, offered transparency and flexibility to the block, and significantly reduced spending over the next year through a market-leading PBM contract, Rx cost-containment solutions and active medical and Rx claims monitoring and management.

INDEPENDENTLY & ACTIVELY ENSURING SAVINGS

CRUMDALE PARTNERS INDEPENDENTLY VALIDATES ALL CONTRACTUAL PRICING GUARANTEES AND HOLDS PBMS ACCOUNTABLE FOR ANY DISCREPANCIES. THIS ALLOWS CLIENTS TO ENSURE THEIR CONTRACT IS PERFORMING AS EXPECTED AND SUSTAINS SAVINGS. TWICE PER YEAR, WE ANALYZE CLAIMS AND APPLY YOUR PBM’S CONTRACTUAL FINANCIAL GUARANTEE METHODOLOGIES TO ENSURE DISCOUNTS.