Our Playbook
We go one by one, analyzing each cost area for savings opportunities.
1. Cut Administrative Costs
- Eliminate low PEPM cost items that add no value and add up
- Renegotiate inflated admin costs
- Consolidate administrative services from multiple vendors
2. Optimize Stop Loss Insurance
- For fully insured plans, explore cost savings with a partially insured arrangement
- For already self-insured plans, rebid stop loss insurance
- Optimize deductibles for premium savings
3. Plan Design Optimization
- Examine and optimize copays, coinsurance, deductibles, and out-of-pocket maximums
- Introduce incentives for positive behaviors
- Implement a 3 tier design (preferred, in-network, out-of-network)
- Eliminate poor performing ancillary programs
4. Rx Program
- Transition from spread AWS pricing to transparent pass- thru contracts
- Carve out specialty and high-cost meds into their own program
- Creative approach to offering access with limitations to high-cost high-use meds such as Ozempic and Skyrizi
5. AI and Virtual Care
- Virtual care options for everyday health issues and specific conditions affecting men or women
- Focus on lower unit cost services compared to traditional care
- Improve employee health and satisfaction
6. Centers of Excellences with Care Navigator
- Direct contracts for specialties such as orthopedics, fertility, and oncology
- Care navigation services to reduce employee burden
- Better outcomes at lower costs with case rate pricing
7. Hospital Concierge
- Concierge kicks in when a member is admitted to the hospital
- Care team coordination with discharge planning
- Post stay claims audit
8. Benefits Marketplace
- Move all discretionary benefits to a defined dollar contribution per employee
- Allow employees to select from point benefits in the marketplace and pay overages
- A more equitable system that replaces disjointed contracts with multiple vendors
AI Intelligence Coming Soon
We'll be integrating AI into your employee health plan operation to save you even more money while improving employee experiences.
AI Doctor
AI doctors have hit the market and offer a smarter, more helpful approach than "Dr Google". AI doctors allow patients to describe symptoms and get suggested treatment options, which can include over the counter or prescription meds at a fraction of the cost of a clinic visit. Skipping the clinic also means less missed at work.
Benefit Question AI Chat
Let's face it. It's still way too hard for employees to understand basic questions like which providers are in-network? What is a co-pay? How much money should I expect to pay for a procedure? We're planning an AI support chat service that provides accurate on-demand answers to these questions and more.
Data Insights
AI shines when it comes to analyzing your data for better insights. Using AI we can get answers to questions like "What members are driving my costs the most?" "What providers have higher contracted rates that the average?" Impossible Benefits then takes these insights and implements effective tactics aligned with savings and health goals.
Pricing
Pay As You Go
Best for a specific project you want tackled
$165
per hour
Cancel anytime
Plan Audit & Report
Great choice to get a second opinion on your plan performance
$995
One time fee
Your Consultant
A commitment to each other for lasting impact and maximum savings
$5
per employee per month + 10% of savings earned measured from baseline
24 month agreement required.
Our Team
We bring 20+ years of healthcare experience across providers, payers, and digital health solutions.
But, we're not part of the "benefits establishment"
We think differently and have zero conflicts of interest.
We take a data driven approach to drive down your health spend while delighting you and your employees.
Brian Klem
Principal Consultant
- 20+ years healthcare industry experience
- Prior health plan General Manager
- Served as benefits manager of a large employer, decreasing spend by 20%
- AI and digital transformation leader
