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Member Incentives

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Creating the appropriate incentives for employees is critical to steering behavior and driving utilization of the SPEC*KC Network. Listed next are examples of Employer Incentives, per Benefit plan option, to help steer employee behavior:

Incentives

Qualified High Deductible Plans:

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  • Reduce Member Cost Share

  • Lower Deductible to Federal minimum for embedded plans

  • Waive Co-Insurance

  • Implement Behavior-Based HSA Employer Contribution Program

  • Percent of savings

  • Tiered fixed dollar amount based on the procedure costs

Traditional PPO, POS, HMO Plans:

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  • Waive or Reduce Member Cost Share

  • Waive or Lower Deductible

  • Waive or Lower Co-Insurance

  • Implement Behavior-Based Bonus Program

  • Percent of savings

  • Tiered fixed dollar amount based on the procedure costs

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The SPEC*KC Difference

Employer Incentive Pyramids.png
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