Self-Insured Nonprofit Employer Credits HCMS in Health Plan’s Turnaround

Self-Insured Nonprofit Employer Credits HCMS in Health Plan’s Turnaround


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The Christian and Missionary Alliance’s health benefits program made a dramatic swing from red ink to black after consolidating plans and deploying clinical prevention service.

 Colorado Springs, Colorado (June 20, 2017) – The Christian and Missionary Alliance’s health benefits program swung from losing money in the first quarter of 2016 to posting a surplus in the 2017 first quarter, according to Ken Baldes, the church organization’s vice president of operations and treasurer. He credited the health information company HCMS Group and the consulting firm Benefit Dynamics Co.

The C&MA, a 2,000-church denomination which also sponsors missionaries abroad, engaged the services of HCMS in 2015 after a series of costly illnesses wiped out the benefit program’s financial reserves and caused a deficit.

“HCMS has been instrumental in the turnaround of the C&MA’s self-funded health plan,” Baldes said. “Their ability to bring data, analytics and clinical services together was key for us – and something we hadn’t seen in the market. Their approach to plan design and analytics was critical to our ability to interpret the story behind the numbers.

“The plan design HCMS proposed required consolidation of four plans into one – a high deductible with an employer funded Health Savings Account. Transitioning to this new plan helped our members understand the real cost of their health insurance which we believe will lead to better decisions and help contain annual premium increases. Having an employer funded HSA (50 percent of deducible) helps temper the cost of services while provides an incentive to save.

“The clinical intervention service of KnovaSolutions and the predictive modeling HCMS developed to identify those in need, helped improve the experience of our members with complex health issues. It has also been key to improving our situation with our high cost individuals and as a result, has begun to bend the cost curve.

“HCMS’s partnership and excellent working relationship with our health plan consultant, Benefit Dynamics, has leveraged the strengths of each organization and together we’re better!”


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