Where Experience Meets Innovation

Benefits Consulting

The health and welfare insurance market is experiencing tremendous change.  Healthcare costs continue to rise. Regulation is complex and the financial costs and risks are at historical levels. EOne’s unmatched staff of industry consultants are dialed into the marketplace and are utilizing and exploring the latest trends and innovations to provide our clients with solutions that competitors have yet to grasp. Don’t get left behind.

EOne’s Suite of Services & Capabilities

Consulting

Plan Design, Plan Financing, Benchmarking, Strategic Planning, Cost-containment Strategies, Plan Management Strategies, Servicing Models, Contribution Strategies, PBM Analysis and Design, Executive Reporting. Fully Insured, Level Funding, ASO & Partially Self-Funding

Underwriting & Analytics

Risk Assessment & Placement, Carrier Negotiations, Renewal Modeling & Projections, Trend Analysis, Funding Analysis, PBM Contract Analysis, PPO Network Evaluation, Ancillary Coverage Management, Dental, Vision, Life & Disability

Vendor Management

Carrier and Vendor Vetting, Selection and Performance Management.  Carrier Risk Penetration and Due Diligence.

Financial Analysis

Plan Performance Management, Utilization Review, Large Claim Analysis, Benefit Budget Forecasting, Executive Reporting, Data Mining

HRIS Support & Consulting

ADP WFN Platform Expertise, System Installation, Integration & Support, Carrier EDI File Management, Benefits Administration & Eligibility, ACA Compliance Testing

Regulatory & Compliance

Comprehensive ERISA, HIPAA, ACA, COBRA, FMLA, AHCA Guidance. Legislative Updates, Education, 1094 and 1095 Reporting & Regulatory Tracking

Case Management & Population Health Management

Large Case Analysis, Predictive Modeling, Disease Management, Demand Management, Dialysis Negotiations, Well-Being Consulting, Utilization Review

Payment Reform & Innovation

We are evaluating the evolution of market based payment innovations such as reference based pricing, value-based purchasing and direct primary care. EOne’s experts will evaluate your position and educate you on how these models could impact the cost and value of your benefits.