The Client

- HQ: Massachusetts

- Carrier: Health New England

- 57 employees

- 4 clinic locations

Problem

- The carrier issued a 16% rate increase.

- Without claims data, the group was unable to evaluate any other health plan options.

- Health Questionnaires were problematic for this group.

Solution

- Rover retrieved the claims data on all plan members.

- Outbound support calls and pre-scheduled appointments with the Rover team were necessary to assist those who needed technical support.

Outcome

- Identified a $53,000/yr disparity on Rx costs, which was the reason for the increase. The real Rx cost on the current employees was only $4,000/yr.

- The carrier adjusted the renewal to a 5.5% increase, which was a $58,000 savings.