American CareSource Holdings, Inc. - IR Presentation
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1. The Company
Advanced Benefits Advisors provides a boutique approach to your benefit needs. Customized solutions, not one-size-fits-all
plans, are what ABA crafts to meet the specific challenges of its clients.
By partnering with ABA, our clients outsource the benefits-management function, allowing the companies to focus on what
they do best -- run their own businesses. Using ABA's services, a company soon realizes it:
• Reduces unnecessary costs and overcharges related to the benefits programs,
• Delegates the overwhelming task of building, servicing and maintaining a benefits package, and
• Eliminates the need to monitor the endless stream of legislation affecting health and welfare benefits
As a seasoned group of professionals, ABA is able to assemble cost-effective plans tailored to meet the specific needs of
each client. Our strategies can eliminate inefficient spending and reduce the amount of revenue spent on a benefit package.
What’s more, our clients' healthcare cost increases are less than half of clients of our competitors.
The Support
To your Management Team
The Deliverables
• Cost Control
• Claims Analysis
• Contribution Analysis
• Benefits Marketing and Negotiation
To Human Resources
• Assistance with Claims Issues for HIPAA
Compliance
• Conduct Open Enrollment Presentations
• Customized Employee Communications
• Facilitate Plan Changes and Carrier Notifications
• Dedicated Service Managers
• “Best Practice” Administrative Outsourcing
Capabilities
To your Employees
• Employee Call Center
• Employee Web Portal
• Claims Advocate
The Difference
Four face-to-face client meetings per year - Not merely a voice on the phone, your ABA professionals will meet with your
team to proactively look ahead at potential problems as well as fix any that may have occurred.
The call center - The ABA call center is available to employees and employers for any issues that arise -- from the simple to
the complex. We act as the advocate for your employee’s, so they don’t have to be experts in the benefits area.
Technology - Our Internet web portal is a 24-hour, seven-days-a-week resource that allows clients to get answers without
phone calls and outside of business hours.
Reporting - How can anyone manage a portion of their business that it doesn’t understand? ABA prides itself on
proactively reporting on claims activities so “no surprises” are found at renewal time.
For more information, please contact Robert E. Petcove, President & CEO at (856) 382-2802 or rpetcove@thinkaba.com.
2. Delivering Cost Savings & Service Solutions
Self Funded Clients
1,200 Employees • Consolidated 4 separate health plans, enhancing network access and reducing costs.
National • Increased claims discounts by 12% ($700,000)
Steel Industry
• Carved out the Prescription Drug Plan, resulting in a 10% savings ($323,000).
• Streamlined administration by dramatically reducing the number of managed plans.
• Introduced an employee call center and one point of contact for the benefit administrators.
600 Employees • Identified network with better discounts (and minimal disruption) resulting in additional 30% discounts
NJ Based ($1,600,000).
Long Term Care • As a result of the claims savings, negotiated a reduction in cost of stop loss insurance by 40%
($460,000).
• Minimized employer liability in stop loss contract, negotiated a PAID contract from a 24/12.
• Switched Prescription Drug Plan to a new TPA saving 30% ($300,000).
• Negotiated savings over $1MM on hospital claims incorrectly adjudicated by prior TPA.
• Conducted a dependent audit which resulted in 50 unauthorized dependents coming off the plans.
• Implemented a Disease Management Program using Rx and Medical data.
250 Employees • Through negotiation, reduced cost of stop loss insurance by 21% ($100,000).
NJ Based • Implemented appropriate stop loss contract to eliminate potential claims liability (present in previous
Manufacturing contract).
• Implemented a Wellness strategy in order to reduce future costs.
• Managed relationship between client and carrier, resulting in better results for all parties.
• Provided employee call center to handle benefit questions and claims issues.
Fully Insured Clients
700 Employees • Became Broker of Record 30 days prior to renewal and negotiated a 16% ($200,000) savings
PA Based off of renewal with no plan changes. Negotiated 15% 2nd year rate cap on health plan.
Manufacturing • Achieved a 10% reduction on life and disability plans. (with no benefit changes)
Company • Introduced employee benefit portals with all plan information as well as new HR technology.
• New employee call center now handles benefit questions and claim issues, allowing the HR
staff to focus on core competencies.
115 Employees • Obtained claims experience and negotiated an 11% ($116,000) savings off of medical renewal
PA Based with IBC without any plan changes.
Actuarial Firm • Negotiated a 10% ($16,000) savings off of dental, Life & LTD renewal with no benefit changes,
provided a true disruption report through our employee survey technology.
• Implemented Full Benefits Administration providing online enrollment, consolidated billing and
reconciliation.
• Handled Open Enrollment Meetings to educate employees on the value of their benefits.
300 Employees • Negotiated a 12% ($300,000) savings off of medical renewal with Horizon without any changes.
NJ Based • Negotiated an 18% ($19,000) savings off of long term disability plan.
Wholesaler/ • Provided short term and long term strategies for cost control, managed at quarterly meetings.
Distributor
• Employee call center handles benefit questions and claim issues, allowing the HR staff to focus
on core competencies.