Healthcare Care
At RC Optimal Business Solutions, we can help you enhance the health and engagement of your Medicare patients, all while boosting the revenue for your practice.
TAKE BETTER CARE OF YOUR MEDICARE PATIENTS AND EARN MORE FOR DOING SO
We add streams of revenue to your practice
At RC Optimal Business Solutions, we can help you enhance the health and engagement of your Medicare patients, all while boosting the revenue for your practice.
Experience remote patient monitoring with zero out-of-pocket expenses. Allow us to equip your facility with Remote Patient Monitoring, providing you with comprehensive patient insights, detailed reports, and streamlined Medicare billing. Stay compliant, improve patient health, and increase revenue for your facility, all with no out-of-pocket costs… EVER.
Whether you run a private practice or lead a medical institution, we can guide you in generating more revenue, delivering exceptional patient care, and achieving effortless growth.
Level Funded plans compared to fully and self insured plans
Fully Insured Plans
Fully insured plans guarantee acceptance for all employees, regardless of health.
This means the insurance company takes on significant risk, leading to high costs even for plans with high deductibles.
Although employers often contribute to employees’ premiums, the costs for adding spouses and children to a family plan remain very high.
Self Insured Plans
In contrast to a fully insured plan, a self-insured health plan involves employers operating and providing their own health coverage instead of purchasing a plan from an insurance carrier.
This approach allows employers more control over their health plan design and potential cost savings. However, self-insuring exposes the company to greater financial risk if more claims than expected need to be paid, as they are responsible for covering all health care costs incurred by their employees.
Level Funding Plans
Level funding is a third option that combines the benefits of fully insured and self-insured plans without their respective risks.
How does it work?
- Level Premiums: You self-insure but pay a fixed monthly premium, offering lower costs than a fully insured plan without the risks of a self-insured plan.
- Stop-Loss Insurance: Level-funded plans include individual and group stop-loss insurance, protecting your company and employees in worst-case scenarios.
- Potential Refunds: If actual claims are lower than expected, you receive a refund for the difference, ensuring you only pay for the healthcare costs incurred by your employees
Perks Of A Level Funded Insurance Plan
Year-End Accounting Examples:
Is There A Catch?
Fully funded plans are expensive because the insurance company assumes the worst-case scenario, leading to higher rates, especially for younger and healthier employees.
Discounts for Healthier Groups: Similar to safe driver discounts in car insurance, we offer discounted rates for groups with good employee health.
Health Assessment: We ask basic health questions regarding current or past issues like cancer, heart problems, organ transplants, and upcoming surgeries. The healthier the group, the lower the cost for the plan.
Guaranteed Coverage: Rest assured, 100% of employees will be eligible for the same plan at the same price, with no exclusions or increased rates. Even in worst-case scenarios for less healthy groups, the cost will remain the same, never higher.
Making The Decision.
You Have A Choice!
What Is Self Funding?
Self-funding is a funding vehicle for employee benefit plans where the employer “self-funds” their health benefits. In this arrangement, the employer assumes some of the risk but also reaps the rewards.
An employer’s risk in self-funding is managed with stop-loss insurance. This insurance provides protection against catastrophic claims, ensuring self-funded employers do not assume full liability. Stop-loss insurance kicks in if an employer’s costs exceed certain preset limits.
How Does Self-funding Work?
Our TPA processes medical claims just like insurance companies, but with a personal touch. We manage your money as if it were our own, carefully evaluating each claim instead of paying or denying blindly. We prioritize the financial well-being of your plan, employees, and their families.
For added security and protection, the plan may purchase excess loss coverage. This coverage kicks in if claims for any single participant (specific) or for all participants combined (aggregate) exceed the selected deductible amounts
Take Control Of Your Group Health Plan
- Let us show you how. Talk to our self-funding experts about your needs, and we’ll design a well-suited, cost-effective plan for you.
GREATER FLEXIBILITY - Customizable benefit plans tailored to your business
Adjustable as your organizational needs change - EASE OF ADMINISTRATION
Cost savings on mandated plan benefits and no state premium tax
Centralized services from a comprehensive third-party administrator
- IMPROVED CASH FLOW
Pay for actual claims, not projected claims
Any funds saved can roll over year after year
Level Funded plans compared to fully and self insured plans
Smarter Benefits
Rising costs have made open enrollment a dreaded time for both employers and employees. No one is thrilled about the increased expenses and unpopular plan changes required just to maintain the status quo. At RC Optimal Business Solutions, it’s time to break the old employee benefit mold and offer innovative RC Optimal Business Solutions that alleviate financial burdens while providing quality coverage
Why Use Us?
Employers
The cost for coverage seems too high
Believe there aren’t enough employees to qualify
Dealing with payroll and deductions seems too daunting
Uncertain of the legalities involved with offering coverage to contracted employees
Health Insurance Review
Employee Benefits Plans
Once we have identified the key underlying causes of your recent rate increases, the team will then start customizing a plan from the ground up. By partnering with premier insurance carriers and utilizing industry leading underwriting technology, we are able to save most companies on their group major medical premiums.
Schedule A Consultation With Us Today
Thank you for considering RC Optimal Business Solutions as your trusted business partner.
We look forward to helping you achieve your business goals and grow your business to new heights.