Health & Welfare Benefits

Sibson Consulting is uniquely qualified to help employers find the right solutions to today's challenging healthcare benefits environment. Our focus has always been on carefully crafted strategies that make business, philosophical and practical sense to employers.

Our consulting team includes experienced actuaries, insurance experts, claims auditors, physicians and nurses, managed care experts and client managers who are committed to helping employers address their unique health benefits challenges.

Plan, Design & Strategize
through our expertise in:

  • Innovative Plan Design Strategy and Analysis
  • Cost and Utilization Modeling
  • Budgeting/Financials
  • Data Mining and Analysis
  • Benchmarking
  • Retiree Health and VEBAs
  • Consumer-Driven Health Plans
  • Employee Contribution Strategies
  • Value-Based Benefit Design (VBD) Strategies

Reduce Costs
through our expertise in:

  • Wellness Strategies and Disease Management
  • Time Off, Absence and Disability
  • Provider Network Analysis, Options and Contracting
  • Claim and Dependent Eligibility Audits
  • Prescription Drug Benefit Custom Solutions
  • Vendor Bidding and Renewal Negotiations
  • Alternative Funding Arrangements
  • Leveraging New Health Technology and Telemedicine
  • Alternative Provider Reimbursement Arrangements
  • On-site and Near-site Health and Wellness Clinics

 

Stay Informed & Prepared
through our expertise in:

  • Health Plan Compliance
  • Health Care Reform
    • Reporting Requirements
    • Testing Plans for Compliance
    • ACA and Wellness
    • Evaluating Public and Private Exchanges
    • Evaluating New Provider Reimbursement Models
    • Creating Custom Options
  • Insurance Market Trends
  • Surveys and Normative Data

Sibson approaches health and welfare benefits from three overlapping perspectives:

Sibson's Approach to Health & Welfare Benefits

  • Vendor Management: Helping clients select the best vendor partners and negotiating best-in-market terms and conditions
  • Plan Design and Management: Effectively designing and managing benefit plans
  • Individual Health Management: Encouraging employees to take responsibility for their own health and supplying them with the tools they need

The area of focus varies depending on the needs of the plan and can be analyzed using the underlying data.