Building health benefit plans is part art, part science. In building these complex and often complicated plans, it is necessary to take into account a number of variables. Co-payments, out of pocket maximums and added or deleted benefits are just a few of the considerations necessary to make these decisions.

At Benefit Informatics, Plan Modeling & Forecasting is a core competency of our Professional Solutions experts. Working in conjunction with health plans, TPAs, broker/benefit consultants and employers, we assist in plan building and modifications for thousands of employer health plans.

We start with data integration, provide in-depth analysis and offer a number of plan designs to meet your stated goals. And because we have access to current plan information, we can make design modifications immediately, instead of days or weeks. We present plan designs and their impacts on the employer, employees and payer. Let us help you make an art of your plan design.

• Create “what if” models using a variety of considerations
• Include major medical, pharmacy, dental and vision plans
• Calculate financial impact on employer health plan and employee healthcare costs
• Estimate future benefit costs utilizing actual claim information