Healthcare insurance consultants who support self-funded companies need three key elements to be successful:
- Reliable long-term partners with robust sales support
- Innovative programs with proven results matched to each client’s unique needs
- Advanced, intuitive data analytics that improve outcomes and reduce cost
That’s what Continental Benefits delivers.
Your clients gain access to the most innovative value-based healthcare initiatives in the industry and you get the support you need to win new accounts and increase renewals.
Vested interest in your success
We believe in long-term partnerships, not just annual sales pushes. We want you to grow your business exponentially with easy renewals that supplement new accounts. And we’ve built the sales support structure to help you make it happen.
Flexibility that wins new business and ongoing loyalty
Continental Benefits features an exceptionally wide range of carefully vetted offerings. As a result, we offer high-quality, affordable, and configurable options for any customer need – a level of innovation that competitors and major carriers cannot match.
Best-in-class value, innovation and savings
Your clients benefit from Continental Benefits’ unmatched breadth of best-in-class networks and partners. They receive the high-value, high-quality healthcare, configurable coverage options, and innovative health management programs they need as self-funded organizations – at significant savings over major carriers.
Give your self-funded customers healthier member experiences, better rates, and truly responsive support
Our unmatched best-in-class networks and partners increase engagement and deliver value-based quality care, all with proven cost containment with greater transparency throughout the process.
Better doctors, better facilities, better outcomes
Our data-driven programs lower costs through proven value-driven, high quality care. Your customers’ employees gain productivity by getting sick less often and returning to work sooner. Since we advocate on behalf of your customers, their HR staff gains valuable time each day to focus on employees, not insurance company bureaucracy and red tape.
Population Health Programs
Unique population heath programs that no major carrier or TPA can match
We believe that healthcare begins long before one of our members becomes sick or hurt. Our advanced data analytics help make substantial improvements in health management. We use this information to support members through these programs.
TopCare™ connects members with the highest quality in-network providers and facilities, working with each member to ensure they receive the care and attention they deserve.
This value-driven guided service builds on the best data resources in the industry to generate recommendations based on five key criteria:
- Inpatient quality
- Patient Safety
- Complications
- Readmissions
- Mortality
We also monitor care transition, care goals, provider communication, staff responsiveness, and post-discharge information across providers, creating a concierge-style experience for members but with reasonable, carefully managed costs.
Continental Benefits’ clinical care programs reach across medical disciplines to provide a unified, integrated approach to care. Members receive targeted care from high-quality providers – and without unnecessary treatments or unwarranted expense.
CB Care Advocate – Our comprehensive care management solution increases health and wellbeing engagement throughout the workforce, with a particular focus on higher risk populations. This suite of services personalizes and improves the healthcare experience by typically engaging more than 90% of your population.
GIThrive – Gastrointestinal issues represent one of the most common and most expensive areas of health management. They also represent one of the most straight-forward opportunities to promote a healthier lifestyle and generate rapid positive results. GI Thrive makes it happen for Continental Benefits members through intuitive, easily followed programs geared for each member’s individual needs.
Orthobiologics – Continental Benefits helps members recover faster from orthopedic procedures when the appropriate application of advanced orthobiologic therapies provide a clear, cost-effective benefit over more invasive approaches to healing.
CancerCare – Cancer affects more than just the patient. Continental Benefits helps members and employers with a holistic approach, treating not just the disease, but its extended impact, from diagnosis and economic impact through recovery.
Pharmaceutical costs represent a significant and rapidly growing proportion of healthcare costs. At the same time, managing those expenses increases in complexity every year. Continental Benefits helps reduce the burden on employers and members through:
- Best-in-class pharmacy pricing through Continental Benefits’ national reach and partnerships
- Data-driven analyses to ensure appropriate therapy and minimize risk from drug interactions
- Active pharmacy benefits manager (PBM) oversight to promote access, control costs, and direct appropriate discounts back to each employer or member
Pharmacogenomics – Continental Benefits works aggressively to assess and provide newly developed precision medicine for members, starting with pharmacogenomics that analyze how the individual genetic makeup of an individual affects their response to medications. This information provides insights that providers use to select the most appropriate drugs and dosages when treating challenging diagnoses while also minimizing costly adverse drug events.
Comprehensive Analytics
We give you and your customers complete access to your data to better understand how business and personal decisions impact both costs and results. We work with leading data and analytics providers to make sure that these comparisons operate consistently across providers and health systems.
As a result, you’ll see how to:
- Gain early notification of unusual risks of budget impact
- Apply executive analytics to track plan performance and identify areas for improvement
- Monitor plan usage, provider quality, and performance benchmarks
- Quickly identify gaps in care and inappropriate care
We provide larger clients with their own data analyst for trend reporting and actionable information that improves outcomes while controlling costs.
Our Networks
We ally with national provider networks to give employers unmatched quality, flexibility, and value for each member.
We also provide reference-based pricing solutions for cost control, as well as customized networks and direct contracting for employers seeking those alternatives.
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