Managed Care

Assume the role of a consultant advising a benefits manager for a local telecommunications organization. The company is self-funded and has 25,000 employees, dependents, and retirees eligible for health benefits. The employees are currently enrolled in a managed PPO plan administered by a commercial insurer. The employer’s health plan costs have increased by 15% over the prior year. Therefore, leaders are considering more cost effective options.

• Identify at least three (3) managed care options that the organization would consider to be cost effective. Next, compare the three (3) options and make a recommendation based on your comparisons.