Carriers – ASOs, Medical, Supplemental, Stop-Loss

Definition:  A company licensed to sell insurance policies, offering and/or underwriting insurance coverage, employing insurance agents, underwriters, customer service representatives, claims adjusters, and more.

Carriers manage risk in a highly competitive space. Sales are complex and consultative. Maintaining loyalty in traditional consulting partnerships is difficult due to heaped commissions. BST helps carriers of all types improve network design and better align products to the client’s risk. This allows carriers to create an environment where their products are seen as strategic against the actual risk of the population.

 

BST can also produce a stand-alone or second look underwriting tool. These capabilities enable carriers to establish a point-of-view through “what if” scenarios regarding vendor selection, stop loss and supplemental product decisions, all tethered to the overall plan design.

Because we apply actual claims data, evaluating the “true risk” for an employee population, carriers can better understand the risk that they do not want unless price properly. They also have the option to use insights to be more aggressive on pricing. Carriers can also strengthen distribution by more strategically positioning their products, providing employers and consultants better access to their data and helping them with their medical plan optimization.

BST ENABLES CARRIERS TO...

Improve understanding and the pricing of risk
Strengthen distribution
  • BST, armed with actual claims data, evaluates the true risk for an employee population. We would like to use this as a second look underwriting tool to either get more aggressive on pricing or to understand the risk that we do not want unless price properly.

  • Provide employers and consultants better access to their data and help them with their medical plan optimization.
     

  • Create an environment where our products are seen as strategic against the actual risk of the population.
     

  • Provide the risk analysis to our benefit admin partners to create the right product bundles for an employee to choose.

HOW WE HELP CARRIERS

BST Data Warehouse

BST provides unprecedented access and visibility of client data. Carriers are able to provide partners with a robust data warehouse that captures more data than other platforms and posts for their client’s benefit every 30 days.

  • Accepts feeds from Ben Admins/Carrier

  • Each client has their own database

  • Normalized for continuous in-depth data analysis

  • Multi-period/lifetime storage/data blending

BST Descriptive Analytics

BST applies advanced analytics, machine learning and optimization techniques to identify lag measures, provides high-level views of total block performance and enables drill down views of individuals by key metrics. We stratify risk, evaluate at a granular level and identify a health plan’s high-cost drivers.

  • Identify financial drivers of next year’s plan in an efficient, automated, unbiased, transparent and cost-effective way.
     

  • Identify the right plan and level by group.
     

  • Obey the overall premium, business quality and tier movement constraints to efficiently and appropriately place each group into the best risk allocation tier.

BST Predictive Analytics

BST provides insights on global risk factors within a population by identifying high-cost drivers, historic patterns and relationships at a granular level – throughout the plan year. We deliver actionable business intelligence through customized financial and clinical reports (robust enterprise or client-level) that provide customized views by key metrics of performance and cost.

  • Process large data sets quickly

  • Uncover insight on emerging risk throughout the year

  • Better advise and hold vendor partners accountable

  • Unbiased, transparent and cost-effective

  • Meets HIPAA/ERISA compliance standards and is accessible anywhere through a secure (SOCII/SAAE16) cloud-based platform.

 

BST Prescriptive Analytics

BST considers millions of scenarios, arrives at optimal plan design and prescribes specific actions, while factoring specific member needs and respecting the budgetary constraints and goals of the employer.

  • Apply advanced analytics and optimization techniques to identify financial drivers of next year’s plan in an efficient, automated unbiased, transparent and cost-effective way to:
     

  • Re-band to improve risk allocation tier
     

  • Inform future plan design (could include supplemental products)