The 2024 MI Employer’s Health Insurance Report
The 2024 MI Employer’s Health Insurance Report, sponsored by Total Control Health Plans, is currently gathering input from business leaders across the state about the challenges they’re facing related to health plan costs, design and coverage.
The report, made available to survey participants first, will provide valuable insights on topics such as Rx and pharmacy strategies, networks and captive design for the year ahead.
Survey participants will also have the opportunity to enter a drawing for one of three $100 Amazon gift cards as a “thank you!” for contributing to our report.
To be eligible, participants must enter their email after completion of the survey. Email addresses will not be included in survey analyses.
Update: Collection for the 2024 Survey is now complete and we are analyzing the data. Check back soon for results!
Start a Conversation
Let’s have a conversation on our dime to see if a Total Control Health Plan will meet your business or organization’s goals.
Contact us to schedule a free consultation today.
Total Control Health Plans
(616) 344-6606
148 S River Ave Ste 300, Holland, MI 49423
Total Control Health Plans
(616) 344-6606
148 S River Ave Ste 300, Holland, MI 49423
What is MLR?
MLR, or Medical Loss Ratio, is a prime example of misaligned incentives in the health care supply chain. The Medical Loss Ratio is a provision in the Affordable Care Act that was intended to keep insurance carriers from over charging their customers. It requires that carriers spend $.80 of each dollar collected in the small group market, and $.85 of each dollar collected in the large group market, to pay its customers’ medical claims and activities that improve the quality of care. The remaining portion can be used for overhead expenses, such as marketing, profits, salaries, administrative costs, and agent commissions. If health care costs go up, however, then the carrier is justified in charging higher premiums increasing the value of their 15% or 20%. With a model like this, carriers benefit when health care costs go up.
What’s the Difference?
Implementation & Negotiation
We work directly with the highest quality healthcare providers, PBMs, TPAs, drugmakers and medical managers to negotiate competitive pricing and clear processes for employees.
Empower Your Employees
In collaboration with your management team, we help engage your employees in the changes and advantages of the new benefits offering. Your employees will be able to make more informed care decisions when equipped with insight into cost and quality of available providers.
Implementation & Negotiation
We work directly with the highest quality healthcare providers, PBMs, TPAs, drugmakers and medical managers to negotiate competitive pricing and clear processes for employees.
Empower Your Employees
In collaboration with your management team, we help engage your employees in the changes and advantages of the new benefits offering. Your employees will be able to make more informed care decisions when equipped with insight into cost and quality of available providers.