Self Funded Solutions

To your healthcare cost dilemma

Only your own claims data holds the answer to your solution. Even in your own large health plan network, prices vary dramatically between providers without a significant difference in quality. In fact, your employees can pay as much as 700% more for the same medical service in the same town without receiving any additional benefit. Not only is this costing your self-funded health plan hundreds of thousands, if not millions of dollars, but the benefit to your employees might be nonexistent. By examining your own claims data to determine those providers that are cost-effective, you can ensure that the information is transparent and accurate for your employees while achieving the highest level of cost savings. Why would you trust someone else's data when yours holds the answer?

To your employee engagement dilemma

Customization and personalization is the key to engaging your employees in their healthcare. Rewarding employees with positive incentives is the best and most popular way to keep them engaged in important healthcare decisions. Our approach focuses on facilitating and maintaining employee engagement to create behavior modification. Pinnacle Perks rewards your employees for going on our website and choosing cost-effective Participating Providers that you have selected based on the examination of your claims data. When employees use their Pinnacle Perks health smart-card at the Participating Provider, they receive points that can be redeemed for valuable goods and services. Employees can exercise their right to choose the reward that is meaningful to them, personalizing their experience and reinforcing engagement in their healthcare decisions. Over time, employees build loyalty with the Pinnacle Participating Providers and engagement becomes increased.

Pinnacle Perks Program Engagement:

  • Sustained employee engagement with every provider decision, not just after their deductible is met
  • Long term behavior modification through continued reward and positive healthcare outcomes
  • Free to employees and easy to use
  • State of the art technology to engage employees and improve healthcare quality by coordinating care among Pinnacle Participating Providers

The result - engaged employees that control costs for you

Engaging your employees and offering them positive incentives to make cost-effective healthcare decisions has a huge impact on your bottom line. This graph shows the hypothetical savings if Pinnacle Perks were to shift some percentage (10-50%) of your employees to a more cost-effective CT scan or MRI provider, saving $1,000 per CT scan and $3,000 per MRI. This data assumes that there are 10,000 lives with 1,770 CT scans and 720 MRIs per year. 1 1JAMA. 2012;307(22):2400-2409 doi:10.1001/jama.2012.5960