FOR SMART EMPLOYERS
Take back control of your health plan.
Most premium increases come from care your insurance plan was never designed to absorb. We build a direct pay layer in front of the insurance plan so claims drop, renewals stabilize, and your employees actually use the benefit.
Hassle Free Healthcare.
Built to Be Used.
What We Evaluate.
When you bring us a plan, we look at five things, and we do it fast.
Stop-loss performance and renewal strategy
Pharmacy exposure, with a specialty drug focus
Network configuration and access
Funding model and plan design
Vendor coordination and member experience
Our Process.
1. Structured RFP
You submit. HIPAA compliant submission process.
2. Stop loss market bidding.
With access to 27 A-rated carriers, our plan designs are reviewed by industry leaders who understand the value of creative, client-focused solutions and give credit where credit is due.
3. Pharmacy benefit evaluation.
We review pharmacy claims to pinpoint high-cost medications and implement proven strategies that reduce costs and improve prescription plan efficiency.
4. Plan redesign modeling.
We make sure the numbers work in your favor—enhancing benefits while reducing overall costs.
5. Strategic presentation.
Clear options. Real numbers. A next step you can actually take.
The Results.
Our typical groups see up to 40% in total cost savings in year one.
Four Outcomes.
Lower premiums, because the plan stops absorbing care it was never built for
More predictable renewals, because the math is in your favor
Lower claims volatility, because the Groundfloor handles the high frequency stuff directly
A simpler member experience, because employees can actually find a doctor
Groundfloor.
The layer of healthcare your insurance plan was never built for.
Groundfloor is the layer of healthcare that sits below your insurance plan. It pays for direct primary care, virtual urgent care, behavioral health, generic pharmacy, and basic labs directly, before any of it becomes a claim.
We invented the term.
We build it into every plan.
See how the Groundfloor works.
Submit a Plan Review Request.
Bring us your last renewal, your last 12 months of claims data, and 30 minutes. We will show you what a Direct Pay Designs plan would actually look like for your group.
Hassle Free Healthcare. Built to Be Used. Rebels with a Blueprint, designing the health plan your renewal has been waiting for.
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