Blog Posts

In today’s healthcare landscape, managing employee benefits requires more than just reacting to issues as they arise—it requires a proactive approach. At Boon-Chapman, we believe that the key to creating sustainable, effective health plans lies in identifying risks early, addressing cost drivers head-on, and prioritizing long-term outcomes.

Whether you’re an employer, broker, or partner in the healthcare industry, proactive care strategies can make a measurable difference in your success. Below, we outline actionable steps to help your organization transition from reactive to proactive healthcare management.

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1. Focus on Preventive Care

Encouraging preventive care is one of the most effective ways to reduce overall healthcare costs while improving employee health outcomes. Regular screenings, vaccinations, and wellness programs catch potential health concerns early—before they develop into costly, complex conditions.

What You Can Do:

• Include coverage for annual physicals and wellness checkups in your health plans.
• Provide incentives for employees to participate in preventive care programs.
• Integrate flexible networks to ensure convenient access to preventive care providers.

How Boon-Chapman Helps:

• Comprehensive Network Options: Through our Direct Networks, Boon-Chapman connects members with national PPOs, regional networks, and direct contracting agreements to provide affordable access to preventive services.
• Technology Solutions: Member portals and communication tools ensure employees are reminded of and encouraged to attend preventive screenings and wellness visits, and are given the tools they need to connect with the most affordable care at high-quality facilities.

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2. Leverage Data for Predictive Analytics

The power of healthcare data cannot be overstated. By analyzing claims data, population health trends, and utilization patterns, you can predict where risks are likely to arise and take action before they escalate.

What You Can Do:

• Invest in claims analysis tools that track trends in real-time.
• Partner with administrators that offer robust reporting capabilities.
• Use insights from analytics to design programs that address the unique needs of your workforce.

How Boon-Chapman Helps:

• Advanced Analytics Platform: Our analytics platform delivers real-time insights into plan performance, cost drivers, and risk assessment, allowing you to identify trends and opportunities for improvement.
• Customizable Reporting: Boon-Chapman’s detailed reporting capabilities help you track preventive care engagement and spot gaps in member health support.

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3. Address Behavioral Health as a Priority

Mental health has a direct impact on physical health and overall productivity. Incorporating behavioral health services into your benefits plan is no longer optional—it’s essential for addressing the holistic needs of employees.

What You Can Do:

• Ensure your plan includes mental health coverage, such as counseling and teletherapy.
• Promote employee assistance programs (EAPs) to offer discreet support for mental health challenges.
• Educate employees on the availability and benefits of these resources.

How Boon-Chapman Helps:

• Case Management Services: Our dedicated case managers provide hands-on guidance to members facing mental health challenges, ensuring they receive the support they need.
• Integrated Solutions: Boon-Chapman’s flexibility allows seamless integration of behavioral health programs tailored to your workforce.

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4. Proactively Manage Chronic Conditions

Chronic conditions like diabetes, heart disease, and hypertension are some of the biggest cost drivers for health plans. Proactive management programs can help employees maintain better control of their conditions while reducing emergency care costs.

What You Can Do:

• Offer access to disease management programs.
• Encourage participation in lifestyle coaching for diet, exercise, and stress management.
• To track key health metrics, provide coverage for digital health tools like mobile apps and wearable devices.

How Boon-Chapman Helps:

• Chronic Care Management Programs: Boon-Chapman offers proactive support for members managing chronic conditions, focusing on tailored interventions that lead to better health outcomes.
• Dialysis Carve-Out Programs: Our targeted dialysis carve-out solutions reduce the financial burden of this high-cost treatment while ensuring members receive the care they need.

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5. Streamline Pharmacy Benefits

Efficient pharmacy benefits are critical to controlling costs and ensuring members receive the medications they need.

What You Can Do:

• Use a pharmacy benefit manager (PBM) to ensure the affordability and accessibility of medications.
• Monitor utilization trends to adjust formularies as needed.
• Implement support programs to guide members through medication-related challenges.

How Boon-Chapman Helps:

• Integrated PBM Services: We streamline prescription benefits, offering cost-effective formularies and dedicated member support.
• Specialty Rx Programs: Targeted solutions reduce costs for high-cost treatments.

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6. Build a Collaborative Ecosystem

At Boon-Chapman, we pride ourselves on offering a collaborative, partner-oriented approach to health plan administration. Our goal is to help clients and partners succeed by identifying risks early, adapting to industry trends, and providing unmatched service every step of the way.

What You Can Do:

• Partner with a TPA that provides end-to-end solutions.
• Ensure seamless integration of your chosen healthcare solutions.
• Leverage technology to simplify plan administration.

How Boon-Chapman Helps:

• End-to-End Plan Administration: From claims processing to member advocacy, Boon-Chapman’s comprehensive services simplify operations and elevate member experiences.
• Flexible Integration: Whether you need to integrate specific solutions or optimize your entire health plan, our collaborative approach ensures your unique needs are met.

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Your Next Step

Making the shift to proactive care strategies doesn’t have to be overwhelming. Boon-Chapman is here to help guide the process, ensuring that your health plan delivers better outcomes for your employees and cost savings for your organization.

By combining cutting-edge technology, robust analytics, and personalized services to help organizations take control of their health plans with proactive care strategies, we can design a health plan that delivers meaningful results—lower costs, healthier members, and a brighter future.

To learn more about how proactive care strategies can work for your business, contact Jennifer Henry today at Jennifer.Henry@boonchapman.com or call 713-614-4008.

Let’s work together to create smarter, healthier benefits solutions.