Lower total health care spend by up to 12%

Scalable execution support that leverages best practices to improve service levels and the overall cost performance

In the past two decades, the Rx Management and Dependent Verification programs have achieved, on average, reductions in plan spend of 12% for over 5 million members. This savings equates to $1 Billion, a 10:1 ROI, that returned to the bottom line.

Benefits Management Optimization Scales graphic

Areas of Focus

Rx Management

  • Get benefit plan members the right medication at the right price
  • 100% Voluntary Program – over 65% of prescribers and 80% of members accept​
  • Overlay – No changes to benefits, PBM, nor contract​
  • Maintaining/improving clinical quality focus​
  • Only outreach to 6-8% of members – no member work, hard lock-outs or forced disruption​

Dependent Verification

  • Verification of dependents & other coverage verifications for spouses​
  • Employee focused process​
  • 98% Average response rate​
  • 5-8% of dependents ineligible
  • 3 Distinct 4-week phases, Consova handles entire process​

Cancer Support

  • Speak with a Support Specialist about your diagnosis and, if you have one, your treatment plan
  • Your physician-led team will review with you the five key drivers of quality care and provide you with steps that may improve your treatment outcome
  • Help you obtain a second opinion, identify highly qualified doctors and hospitals, and update plan

Surgery Support/Physical Therapy

  • Clinical support in decision making on surgery options
  • Determine alternatives to surgery for specific procedures
  • Informed decisions around surgery and alternatives

Mental/Behavioral Health

  • Maximize programs you have invested in
  • Collaboration with health plans and other vendor partners
  • Improve employee experience
  • Optimize client healthcare spend

Supplemental Coverage

  • Short-term disability
  • Long-term disability
  • Life and Accidental Death and Dismemberment insurance
  • Accidental Insurance
  • Critical Illness

Employee Discount Benefits

  • Exclusive discounts on products and services
  • Access to thousands of discounts on travel and entertainment, fitness, electronics and much more
  • Offers are curated and rotating flash deals make saving money easy
  • Create consistent and targeted marketing/communication strategies