Forecasting, Planning & Strategic Benefits Consulting

Key Data for Better Benefit Dollar Management

Kelly Benefits Strategies’ in-house reporting specialists routinely evaluate claims enrollment data, turning plan information into something meaningful. The KBS Senior Consultant works hand-in-hand with our Plan Management Reporting and Analytics team to uncover the insights within data and help employers understand what is driving benefit costs, and ultimately recommend necessary adjustments to your organization’s strategic plan.

An Understanding of the Present for a Confident Future

Our robust reporting capabilities provide insight into where your plan is today and can forecast trends and future expectations, helping to better prepare for your annual renewal. Your KBS Consultants use these reports to help you make sound, strategic decisions, including demonstrating exactly what drives your expenses. We then partner with you to make strategic adjustments that will allow for containment of costs while continuing to engage and serve your employees.

C-suite level reporting delivered monthly, providing a current glimpse into costs and trends.

Executive Summary
Medical Enrollment
Key Financial Indicators
Benchmark and Historic Claims
Plan & Demographic
Large Claims
Prescription Drugs
Cash Cost Summary
Aggregate Stop Loss Summary

Claims by Plan
Claims by Place of Service
Claims by Relationship
Top Providers
Emergency Room Spotlight
Mental Health Spotlight
J Code Spotlight
Benchmarks
Rx Special Reports

A comprehensive deep dive into the clinical data needed to drive meaningful change in plan design and cost containment.

Executive Recommendations
Membership and Plan Cost
Average Costs, Benchmark, by Tier
Inpatient Hospital
Outpatient Hospital
Emergency Room
Inpatient Surgery
Outpatient Surgery
Physician Office Visits

Mental Health Visits
Physical Medicine Visits
Wellness/Routine Visits
Radiology Services
Laboratory Services
Unhealthy Behavior Claims
Prevention and Early Detection
Chronic Disease Impact
Prescription Drug Spotlight

Through partnerships with leading pharmacy benefits management consulting firms, KBS RxM provides a close look into pharmacy costs, drivers and trends as well as ongoing strategies and risk management services.

12 months of Current Pharmacy Claims
PBM Contract Compared to Proprietary Contracts of Four National PBMs
Year-End Contractual Review
Actual Performance vs. Discount Guarantee

An Unmatched Internal Underwriting Team

The KBS Underwriting team possesses in-depth knowledge and experience in performing calculations to determine accurate rates. This internal unit collaborates with our benefits consulting experts to provide these calculations, as well as thoroughly explain the funding rates and whether they entail maximum/expected costs or if they are based on another set of criteria.

Plan design alternatives are viewed through the lens of impact to claims spend and are often validated through actuarial analysis or direct claims analysis. The Underwriting team also works closely with our carrier partners to develop and refine those alternatives and has access to outside, independent actuaries when the situation calls for their input. This means you can have confidence in knowing that you have experts on your team who are advocating for you and your plan.

Forecasting, Planning and Strategy