Health & Welfare Benefits

As the only major consulting firm whose core business is dedicated to collectively bargained multiemployer plans, Segal is uniquely qualified to help multiemployer health and welfare funds find the right solutions to the issues arising from today's challenging health care benefits environment. We have pioneered many innovations in health benefit design, purchasing, cost management and communications. Our focus has always been on carefully crafted strategies that make business, philosophical and practical sense to trustees.

Our consulting team includes experienced actuaries, insurance experts, claims auditors, physicians and nurses, managed care experts, and client managers who are dedicated to helping multiemployer health funds address their unique health and welfare benefits challenges.

Segal helps public sector employers find solutions to today’s challenging health care benefits environment. We pioneered many innovations in health benefit design, purchasing, cost management and communications.

Our health care specialists include actuaries, benefits consultants, insurance experts, claims auditors, physicians and nurses, pharmacists and managed care experts who have extensive experience helping public sector employers address their unique health and welfare benefits challenges.

Plan, Design & Strategize
through our expertise in:

  • Innovative Plan Design Strategy and Analysis
  • Cost and Utilization Modeling
  • Budgeting/Financials
  • Data Mining and Analysis
  • Benchmarking
  • Retiree Health and VEBAs
  • Consumer-Driven Health Plans
  • Participant Contribution Strategies
  • Value-Based Benefit Design (VBD) Strategies

Reduce Costs
through our expertise in:

  • Wellness Strategies and Disease Management
  • Provider Network Analysis, Options and Contracting
  • Claim Audits and Implementation Reviews
  • Prescription Drug Benefit Custom Solutions
  • Vendor Bidding and Renewal Negotiations
  • Alternative Funding Arrangements
  • Leveraging New Health Technology and Telemedicine
  • Alternative Provider Reimbursement Arrangements
  • On-site and Near-site Health and Wellness Clinics

 

Stay Informed & Prepared
through our expertise in:

  • Health Plan Compliance
  • Health Care Reform
    • Reporting Requirements
    • Testing Plans for Compliance
    • ACA and Wellness
    • Evaluating Private and Public Exchanges
    • Evaluating New Provider Reimbursement Models
    • Creating Custom Options
  • Insurance Market Trends
  • Surveys and Normative Data

Plan, Design & Strategize
through our expertise in:

  • Innovative Plan Design Strategy and Analysis
  • Cost and Utilization Modeling
  • Budgeting/Financials
  • Data Mining and Analysis
  • Benchmarking
  • Retiree Health and VEBAs
  • Consumer-Driven Health Plans
  • Employee Contribution Strategies
  • Value-Based Benefit Design (VBD) Strategies

Reduce Costs
through our expertise in:

  • Wellness Strategies and Disease Management
  • Provider Network Analysis, Options and Contracting
  • Claim Audits and Implementation Reviews
  • Prescription Drug Benefit Custom Solutions
  • Vendor Bidding and Renewal Negotiations
  • Alternative Funding Arrangements
  • Leveraging New Health Technology and Telemedicine
  • Alternative Provider Reimbursement Arrangements
  • On-site and Near-site Health and Wellness Clinics

 

Stay Informed & Prepared
through our expertise in:

  • Health Plan Compliance
  • Health Care Reform
    • Reporting Requirements
    • Testing Plans for Compliance
    • ACA and Wellness
    • Evaluating Private and Public Exchanges
    • Evaluating New Provider Reimbursement Models
    • Creating Custom Options
  • Insurance Market Trends
  • Surveys and Normative Data

Segal approaches multiemployer health and welfare benefits from three overlapping perspectives:

Health & Welfare Benefits – Model of Segal's Approach

  • Vendor Management: Helping clients select the best vendor partners and negotiating best-in-market terms and conditions
  • Plan Design and Management: Effectively designing and managing benefit plans
  • Individual Health Management: Encouraging plan participants to take responsibility for their own health and supporting them with the tools they need

The area of focus varies depending on the needs of the particular health fund, and can always be analyzed using the underlying data.

Segal approaches health and welfare benefits from three overlapping perspectives:

Health and Welfare Benefits – Model of Segal's Approach

  • Vendor Management: Helping clients select the best vendor partners and negotiating best-in-market terms and conditions
  • Plan Design and Management: Effectively designing and managing benefit plans
  • Individual Health Management: Encouraging employees to take responsibility for their own health and supporting them with the tools they need

The area of focus varies depending on the needs of the particular public sector entity, and can always be analyzed using the underlying data.

Data analytics sits at the critical juncture of these three overlapping perspectives. Through mining and analyzing a plan's data, plan sponsors can identify and then find ways to manage the underlying causes of rising health care costs. To help facilitate the data mining process, Segal has developed SHAPE, our exclusive data mining tool, to help plan sponsors uncover valuable insights into the root causes driving their health plan costs.

 

Learn more about Segal SHAPE